Excision and primary closure of pilonidal sinus using a drain for antiseptic wound flushing

Excision and primary closure of sacrococcygeal pilonidal sinus using suction drain

“…12 Suction was stopped on the first postoperative day and it was followed by flushing of the wound with antiseptic and saline through the drain till day 6. The drain was removed on day 8 or 9, some of the stitches on day 8 or 9 and the rest on day 9 or 10.…”

“…Use of drains has been described following primary closure, both for removing effluent and irrigating the wound bed. [10][11][12] Since so many treatment options have been utilized, there is still no consensus on a single best procedure that can be employed. Whatever treatment is used, it should be beneficial for the patient.…”

Excision and primary closure of pilonidal sinus: excellent results

“…Healing was by primary intention in all cases and no recurrence was seen in 5 to 15 years of follow up. 22 Randolph S Williams reported a series of 31 patients of PNS underwent excision and primary closure of sinus over a suction drain the result were excellent. 23 The main aim of primary closure is rapid healing and this is achieved by prevention of sepsis and hematoma formation.…”

The effects of drainage on the rates of early wound complications and recurrences after Limberg flap reconstruction in patients with pilonidal disease

“…Cavity drainage has been used routinely in LFR, and its use has been proposed in other surgical techniques for PD [1][2][3][4]. But there have been very few controlled studies on the rationale for routine usage of drains.…”