Article: article from journal or magazin.
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Neues Therapiekonzept für den Sinus pilonidalis [New concept in the treatment of the pilonidal sinus].
Publication types: Comparative Study ; English Abstract ; Journal Article ; ReviewPublication Status: ppublish
Symptomatic pilonidal sinus is characterized by an acute or a chronic inflammation. The surgical management of symptomatic pilonidal sinus is still a matter of discussion and no clear recommendations exists. On the basis of results from published studies and our own experience we developed a new two step therapy concept: Infected pilonidal were first drained by a small excision of the abscess (if possible in local anesthesia) followed by a close fistula excision. With this approach we were able to achieve a low morbidity and a high healing rate. In the case of extensive fistulating pilonidal sinus or recurrent disease we recommend radical excision and primary reconstructive flap what showed good aesthetic results.
Drainage, Esthetics, Humans, Pilonidal Sinus/surgery, Postoperative Care, Postoperative Complications, Recurrence, Surgical Flaps, Suture Techniques, Time Factors, Wound Healing
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