Sinus Excision and Primary Closure Versus Laying Open in Pilonidal Disease: A Prospective Randomized Trial

Lorant, Tomas; Ribbe, Ingar; Mahteme, Haile; Gustafsson, Ulla-Maria; Graf, Wilhelm

doi:10.1007/dcr.0b013e31820246bf

Cited by 45 publications

(23 citation statements)

References 26 publications

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“…However, it can adversely affect patients' quality of life due to the associated pain, sinus discharge and some complications such as abscess formation [10]. This disease can be treated with two distinct surgical methods comprising open and closed methods.…”

Section: Discussionmentioning

confidence: 99%

Pilonidal Sinus Excision: New Vision

Nada¹,

Salama²

2016

Surgery Curr Res

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Section: Discussionmentioning

confidence: 99%

Pilonidal Sinus Excision: New Vision

Nada¹,

Salama²

2016

Surgery Curr Res

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“…Neither method is flawless: whereas PSD wounds heal more quickly after primary closure, the risk of sinus recurrence is higher than with open healing. However, no significant difference in the rate of healing has been found between the two approaches over the long term [7, 8]. A clear benefit in terms of recurrence has, however, been seen when using off-midline closure compared to midline closure [9, 10].…”

Section: Discussionmentioning

confidence: 99%

S-Shaped Wide Excision with Primary Closure for Extensive Chronic Pilonidal Sinus Disease

Karaman

Öztürk

Tuğmen

et al. 2014

Case Reports in Surgery

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Background. The management of complex pilonidal sinus disease (PSD) with multiple pits on and beside the natal cleft is variable, contentious, and problematic. Wide excision of the sinus and reconstruction of the defect using different flap techniques have become more popular in recent years. Case Report. We report a case with a complex chronic PSD to which we applied primary closure after S-shaped wide excision. The patient's postoperative course was uneventful, and at the end of one-year followup he is now disease-free and comes for routine checkups. Conclusion. The simplicity of the technique and the promising results support the applicability of the S-shaped wide excision in chronic bilaterally extended large PSDs. Further studies entailing large patient populations are needed to reach a definite conclusion.

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“…10, 11 The recurrence is most often due to the omission of any tract during the initial operation, infection of the wound or abscess formation that may lead to formation of a new sinus tract inside the cicatrising wound. Accumulation of dead tissue or debris in the intergluteal cleft, sweating, friction or poor hygiene are predisposing factors for recurrence.…”

Section: Discussionmentioning

confidence: 99%

Rhomboid Flap for Pilonidal Sinus- Our Experience

Maharaul¹,

Shah²,

Panchal³

et al. 2018

jemds

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BACKGROUND Pilonidal sinus is a chronic disease of the sacrococcygeal region. Treatment varies according to the clinical presentation of the disease. Although, many surgical methods have been suggested, an ideal method is still lacking because of high recurrence rates. Recurrent disease causes significant morbidity, particularly missing time from work.The aim of this study was to assess the rhomboid flap's role in promoting primary healing in recurrent pilonidal disease and to evaluate morbidity and recurrence. MATERIALS AND METHODSThis prospective study included 30 patients who were treated with the use of a rhomboid flap closure for recurrent pilonidal sinus at Dhiraj Hospital from December 2015 to August 2017. RESULTSThere were 26 males and 4 females. The mean hospital stay was 9 days (range= 6 -12 days). CONCLUSIONRhomboid flap for pilonidal sinus is suitable for cases where simpler operations have failed. It allows early return to full activity, does not necessitate prolonged postoperative care and has very low recurrence and complication rates which may outweigh the disadvantages related to an unfavourable cosmetic appearance. KEYWORDS

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Sinus Excision and Primary Closure Versus Laying Open in Pilonidal Disease: A Prospective Randomized Trial

Cited by 45 publications

References 26 publications

Pilonidal Sinus Excision: New Vision

Pilonidal Sinus Excision: New Vision

S-Shaped Wide Excision with Primary Closure for Extensive Chronic Pilonidal Sinus Disease

Rhomboid Flap for Pilonidal Sinus- Our Experience

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