Which technique for treatment of pilonidal sinus—Open or closed?

Füzün, Mehmet; Bakır, Hasan; Soylu, M.; Tansuğ, Tuğrul; Kaymak, Erol; Omer, Hammad

doi:10.1007/bf02049819

Cited by 117 publications

(45 citation statements)

References 9 publications

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“…Its treatment is usually surgical and remains controversial between wide excision and limited excision and between primary closure and secondary closure [14]. Excision and primary repair techniques result in significantly shorter healing time and earlier return to work, when compared to excision with open packing [15], and treatment of chronic pilonidal sinus should be based on patient preferences and characteristics, especially employment status [16]. In our results, there is significant shorter healing time in closed methods than open methods.…”

Section: Discussionmentioning

confidence: 72%

Is There a Relation Between Natal Cleft Depth and Post-Operative Morbidity After Different Methods of Excision of Sacro-Coccygeal Pilonidal Sinus?

Kasim

Abdlhamid

Badwan³

et al. 2012

Indian J Surg

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The role of natal cleft depth in postoperative morbidities after pilonidal sinus disease (PSD) surgery is still uncertain. To examine the correlation between natal cleft depth and postoperative morbidities after different methods of excision of PSD. We prospectively examined data of 66 operated patients with PSD at Prince Fahd Ben Sultan hospital, Tabouk, KSA. Of the studied patients, 18 were treated by simple closure (27.3 %), 13 patients by Bascom closure (19.7 %), 21 patients by the open method (31.8 %) and 14 patients by the semiopen method (21.2 %). Postoperative morbidities were recorded. The data were analyzed using appropriate statistical tests. Sixty six patients (62 males, 4 females) underwent surgery for PSD. The mean age of the studied patients was 26.7±6.9 (range 15-51). Nine patients (13.7 %) showed delayed healing with the highest incidence was among patients treated by the open method (6/21 (28.5 %)), and 5 patients (7.5 %) showed recurrence. There have been significant positive correlations between natal cleft depth and delayed healing, which was evident among patients treated by the open method (r0+0.78; p<.0001). The findings suggest that natal cleft depth is a significant factor correlated with postoperative morbidities of PSD after surgical treatment.

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Section: Discussionmentioning

confidence: 72%

Is There a Relation Between Natal Cleft Depth and Post-Operative Morbidity After Different Methods of Excision of Sacro-Coccygeal Pilonidal Sinus?

Kasim

Abdlhamid

Badwan³

et al. 2012

Indian J Surg

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“…Many surgeons treat pilonidal disease by wide excision of the pilonidal complex-containing tissue, leaving a lay open or a primary sutured midline wound. 11,12 Other surgeons use more sophisticated flap techniques designed to keep the incision away from the midline or flatten the natal cleft. 13,14 One of the most commonly practiced flap technique is Limberg flap.…”

Section: Resultsmentioning

confidence: 99%

Body Image and Cosmesis after Pilonidal Disease Surgery

Şengül¹,

Dinler²,

Kıyan³

et al. 2011

Kolon Rektum Hast Derg

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“…Biz tüm yöntemler içerisinde kolay, basit, hızlı uygulanabilen asimetrik eksizyon pirimer kapama tekniğini uyguladık. Biz bu çalışmada pilonidal sinüs hastalığının cerrahi tedavisinde asimetrik eksizyon + pirimer kapama tekniğinin sonuçlarını araştırdık [9] . Çalışmamızda kadın/erkek oranı yaklaşık 1/4 olarak saptanmıştır.…”

Section: Discussionunclassified

Is Asymmetric Excision Primary Closure at Treatment of Pylonidal Sinus Disease an Appropriate Choice?

2011

Ann Clin Anal Med

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Which technique for treatment of pilonidal sinus—Open or closed?

Abstract: Because both techniques have very low complication rates, treatment of chronic pilonidal sinus should be based on patient preference and characteristics, especially employment status.

Cited by 117 publications

References 9 publications

Is There a Relation Between Natal Cleft Depth and Post-Operative Morbidity After Different Methods of Excision of Sacro-Coccygeal Pilonidal Sinus?

Is There a Relation Between Natal Cleft Depth and Post-Operative Morbidity After Different Methods of Excision of Sacro-Coccygeal Pilonidal Sinus?

Body Image and Cosmesis after Pilonidal Disease Surgery

Is Asymmetric Excision Primary Closure at Treatment of Pylonidal Sinus Disease an Appropriate Choice?

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