Healing by primary versus secondary intention after surgical treatment for pilonidal sinus

McCallum, I; Bruce, Julie; King, PM

doi:10.1002/14651858.cd006213

Cited by 66 publications

(99 citation statements)

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“…The evidence for this comes from several randomized controlled trials and a subsequent meta-analysis [4]. The theory is that shearing forces exerted on the skin by walking are at their greatest within the natal cleft and that there is less opening force exerted on wounds placed lateral to this point.…”

Section: Introductionmentioning

confidence: 99%

Lateral Incision Surgery for Pilonidal Sinus: Death of a Dogma

Cheetham

2011

World j. surg.

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Section: Introductionmentioning

confidence: 99%

Lateral Incision Surgery for Pilonidal Sinus: Death of a Dogma

Cheetham

2011

World j. surg.

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“…However, it has also been described in the axilla, suprapubic area, periumblical zone and between the fingers of the hand in the barbers. [1][2] It usually presents as a cyst, abscess, or one or more sinus tracts with or without discharge in the upper part of the natal cleft. Hair tufts within the sinus, seen in about 60% of the cases, are now considered important secondary outcome in the evolution of the sinus.…”

Section: Introductionmentioning

confidence: 99%

Limberg Flap Reconstruction for Pilonidal Sinus

Cn¹,

Vijayakumar²

2016

Int J of Biomed & Adv Res

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Background: Pilonidal sinus is a relatively common condition affecting men twice as often as women. The estimated incidence is 26 per 100,000 people. The management of pilonidal sinus disease remains controversial, and gold standard treatment modality has yet to be established. Limberg procedure is a safe and reliable technique in the treatment of sacrococcygeal pilonidal sinus disease, with low complication and recurrence rates if performed according to appropriate surgical principles. Methods: This is a Prospective study on 52 patients between Jan 2012 to Dec 2015 at Plastic surgery Department at a tertiary care hospital. Patients having primary or recurrent pilonidal sinus disease underwent this operation. Results: Fifty Two patients had this surgery. Among them, 38 (73%) were males and 14 (27%) were female. The mean age was 31, (Range: 17-45 years). 14 (26.9%) presented with recurrent sinus and 5 of them had previous surgery on more than one occasions. One hundred and seven patients (97.27%) had full primary healing without any complication. Two (4%) patient had minimal epidermolysis of flap corners. One (1.92%) had slight gaping of wound edges. However all three healed completely with conservative treatment. The mean length of hospital stay was 2.45 (Range: 1-5days) and most patients returned to work within 3 weeks. Conclusion: Limberg flap is very effective for pilonidal disease with low complicaion rates, short hospitalisation, low recurrence rates, earlier healing and shorter time off-work. The surgery can be easily mastered. We recommend Limberg flap as prefered surgery for cases of Pilionidal sinus.

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“…Although various surgical techniques are currently used for treatment of PSD, no clear consensus as to optimal treatment has been reported so far in the literature (1,2). Apart from the controversy over the best surgical technique for PSD treatment, an ideal operation should be simple, not require a prolonged hospital stay, have a low recurrence rate, be associated with minimal pain and wound care, decrease the period of absence from work (2,3), and consequently lead to patient's aesthetic satisfaction (4,5). Several studies reported that lateralization of the natal cleft is important in prevention of midline recurrences (2,(6)(7)(8).…”

mentioning

confidence: 99%

“…Apart from the controversy over the best surgical technique for PSD treatment, an ideal operation should be simple, not require a prolonged hospital stay, have a low recurrence rate, be associated with minimal pain and wound care, decrease the period of absence from work (2,3), and consequently lead to patient's aesthetic satisfaction (4,5). Several studies reported that lateralization of the natal cleft is important in prevention of midline recurrences (2,(6)(7)(8). Oblique or asymmetric closure techniques such as Karydakis fl ap and the Bascon procedure are based on this principle (6,7).…”

mentioning

confidence: 99%

A new surgical method of pilonidal sinus treatment: A bilaterally paralel elliptic fascio-cutaneous advancement flap technique

Bc¹,

Berkem²,

Özel³

et al. 2012

BLL

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Abstract:Objective: Pilonidal sinus disease (PSD) is a common chronic disease in young people, It is often associated with considerable discomfort and morbidity Background: We aimed to describe our new bilateral parallel elliptic fascio-cutaneous advancement fl ap technique in PSD treatment and we assessed the technique's results in 57 patients. Method: This procedure consists of a bilateral parallel elliptical excision, mobilization of the fascio-cutaneous fl ap from the median line of the wound, fi xation of the base of the fl ap to the sacrococcygeal fascia by method of overlapping, and suturing its edge to the lateral side. Finally, we closed the wound without tension in accord with the anatomical plane. Result: The mean age of the patients was 25.3±4 years. Complications such as infection, wound dehiscence, and seroma were detected in 2 (3.5 %), 2 (3.5 %), and 3 (5.2 %) patients, respectively. The mean durations of hospitalization and absence from work were 2.4±3 and 12.6±3 days, respectively. The mean length of defects after operations was 14.4±1 cm and the mean width was 7.2±1 cm). Follow up period averaged 21.4±1.2 (range, 12 to 72) months. Recurrence occurred in one (1.7 %) patient included in this study. We detected a mild-degree wound dehiscence in patients with wound infection (n=2, 3.5 %). Conclusion: Our novel technique provided the patients with minimum postoperative morbidity, short hospital stay and reduced absence from work. In addition, the technique has a satisfying aesthetic outcome and a decreased recurrence rate. Moreover, the fl ap could be prepared easily. In the light of our results, we suggest that our novel surgical technique seems to be a reasonable method in treatment of PSD (Fig. 2, Ref. 24). Full Text in PDF www.elis.sk.

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Healing by primary versus secondary intention after surgical treatment for pilonidal sinus

Cited by 66 publications

References 0 publications

Lateral Incision Surgery for Pilonidal Sinus: Death of a Dogma

Lateral Incision Surgery for Pilonidal Sinus: Death of a Dogma

Limberg Flap Reconstruction for Pilonidal Sinus

A new surgical method of pilonidal sinus treatment: A bilaterally paralel elliptic fascio-cutaneous advancement flap technique

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