A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more.
- Soll C Department of Visceral and Transplantation Surgery, University Hospital Zuerich, Raemistrasse 100, CH-8091 Zuerich, Switzerland.
- Hahnloser D
- Dindo D
- Clavien PA
- Hetzer F
- 2007-08-19
Published in:
- International journal of colorectal disease. - 2008
Adolescent
Adult
Ambulatory Surgical Procedures
Female
Humans
Male
Middle Aged
Minimally Invasive Surgical Procedures
Pilonidal Sinus
Recurrence
Sacrococcygeal Region
Sick Leave
Surveys and Questionnaires
Time Factors
Treatment Outcome
Wound Healing
Young Adult
English
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.
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.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1007/s00384-007-0377-9
- PMID 17703314
- Persistent URL
- https://sonar.ch/global/documents/14250
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