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

Détails

ID Serval
serval:BIB_80CC9BF8F005
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more.
Périodique
International Journal of Colorectal Disease
Auteur(s)
Soll C., Hahnloser D., Dindo D., Clavien P.A., Hetzer F.
ISSN
0179-1958 (Print)
ISSN-L
0179-1958
Statut éditorial
Publié
Date de publication
2008
Volume
23
Numéro
2
Pages
177-180
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
07/10/2014 15:21
Dernière modification de la notice
20/08/2019 15:41
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