A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more.

Details

Serval ID
serval:BIB_80CC9BF8F005
Type
Article: article from journal or magazin.
Collection
Publications
Title
A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more.
Journal
International Journal of Colorectal Disease
Author(s)
Soll C., Hahnloser D., Dindo D., Clavien P.A., Hetzer F.
ISSN
0179-1958 (Print)
ISSN-L
0179-1958
Publication state
Published
Issued date
2008
Volume
23
Number
2
Pages
177-180
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
BACKGROUND: The surgical management of sacrococcygeal pilonidal sinus (PS) is still a matter of discussion. Therapy ranges from complete wide excision with or without closure of the wound to excochleation of the sinus with a brush. In this paper, we introduce a novel limited excision technique. The aim of this study was to assess the morbidity and recurrence rate of this technique.
MATERIALS AND METHODS: Limited excision consisted of a selective extirpation of the sinus after tagging the tract with methylene blue. Ninety-three consecutive patients, who underwent surgery between 2001 and 2004, were analyzed. The patients' survey was performed by mail questionnaire and telephone interview inquiring recurrence, time off work, and time to wound healing.
RESULTS: Seventy-three percent of the patients were treated in an outpatient setting. With a median follow-up of 2 years, the recurrence rate was 5%. The median time off work was 2 weeks. The median wound healing time was 5 weeks.
CONCLUSION: Limited excision for PS can be done in an outpatient setting with a low recurrence rate and short time off work.
Keywords
Adolescent, Adult, Ambulatory Surgical Procedures, Female, Humans, Male, Middle Aged, Pilonidal Sinus/surgery, Questionnaires, Recurrence, Sacrococcygeal Region, Sick Leave, Surgical Procedures, Minimally Invasive, Time Factors, Treatment Outcome, Wound Healing, Young Adult
Pubmed
Web of science
Create date
07/10/2014 15:21
Last modification date
20/08/2019 15:41
Usage data