Abstract BACKGROUND: Pilonidal sinus (PS) is a common chronic disorder of the sacrococcygeal region. The optimal treatment for PS remains controversial, and recent reports have advocated different surgical approaches. METHODS: A prospective study was performed on 103 patients with nonrecurrent quiescent chronic discharging sinus. Excision with primary closure was performed on all patients. Patients were subdivided randomly into 2 groups. In group A, the excision was associated with drainage of the wound; in group B, the wound was not drained. RESULTS: Excision with primary closure and drainage was performed in 53 patients (group A). Drainage was omitted in 50 patients (group B). Minor wound complications occurred in 3 patients in group A and in 36 patients in group B. No complete dehiscence of the wound was observed in patients in group A and in 8 patients in group B. Complete healing was fastest in patients in group A. Sinus recurrence occurred in 1 patient in group A and in 2 patients in group B. CONCLUSION: Short- and long-term results suggest that limited midline excision with primary closure and wound drainage is a simple and effective procedure in the surgical treatment of uncomplicated PS. More demanding flap techniques and plasties should be reserved for complicated PS, which requires a wider excision.

Outcome of chronic pilonidal disease treatment after ambulatory plain midline excision and primary suture / Tocchi, Adriano; Mazzoni, G; Bononi, Marco; Fornasari, Vittorio; Miccini, Michelangelo; Drumo, A; Colace, Lidia. - In: THE AMERICAN JOURNAL OF SURGERY. - ISSN 0002-9610. - STAMPA. - 196:1(2008), pp. 28-33. [10.1016/j.amjsurg.2007.05.051]

Outcome of chronic pilonidal disease treatment after ambulatory plain midline excision and primary suture

TOCCHI, Adriano;BONONI, Marco;FORNASARI, Vittorio;MICCINI, MICHELANGELO;COLACE, LIDIA
2008

Abstract

Abstract BACKGROUND: Pilonidal sinus (PS) is a common chronic disorder of the sacrococcygeal region. The optimal treatment for PS remains controversial, and recent reports have advocated different surgical approaches. METHODS: A prospective study was performed on 103 patients with nonrecurrent quiescent chronic discharging sinus. Excision with primary closure was performed on all patients. Patients were subdivided randomly into 2 groups. In group A, the excision was associated with drainage of the wound; in group B, the wound was not drained. RESULTS: Excision with primary closure and drainage was performed in 53 patients (group A). Drainage was omitted in 50 patients (group B). Minor wound complications occurred in 3 patients in group A and in 36 patients in group B. No complete dehiscence of the wound was observed in patients in group A and in 8 patients in group B. Complete healing was fastest in patients in group A. Sinus recurrence occurred in 1 patient in group A and in 2 patients in group B. CONCLUSION: Short- and long-term results suggest that limited midline excision with primary closure and wound drainage is a simple and effective procedure in the surgical treatment of uncomplicated PS. More demanding flap techniques and plasties should be reserved for complicated PS, which requires a wider excision.
2008
01 Pubblicazione su rivista::01a Articolo in rivista
Outcome of chronic pilonidal disease treatment after ambulatory plain midline excision and primary suture / Tocchi, Adriano; Mazzoni, G; Bononi, Marco; Fornasari, Vittorio; Miccini, Michelangelo; Drumo, A; Colace, Lidia. - In: THE AMERICAN JOURNAL OF SURGERY. - ISSN 0002-9610. - STAMPA. - 196:1(2008), pp. 28-33. [10.1016/j.amjsurg.2007.05.051]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/378049
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