Pilonidal Sinus

The aetiology and treatment of pilonidal sinus. A review of 163 patients

“…If simple incision and packing is to be adopted, could it not also be applied to the treatment of acutely infected lesions ? Dwight and Maloy (1953) claimed a 93 per cent cure rate with abscesses, givjng a follow-up of at least one year. In the present series, in which such abscesses were treated simply by a small incision and drainage, this produced a recurrence rate of 93 per cent.…”

Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol

“…A larger, prospective study should be conducted to demonstrate the long-term recurrence rate and impact on cost of care. With the overall incidence of pilonidal disease reported to be 0.026%-1.1% [29][30][31], widespread implementation of this protocol could result in a significant reduction in resource utilization for pilonidal care throughout the health system.…”

Postanal sinus.

“…Few surgeons now practise total excision of the sinus and its side tracks, so producing a large wound which heals very slowly.2 Excision and primary suture is still popular, but only small quiescent sinuses should be so treated, with painstaking attention to technique-otherwise infection and breakdown are a serious threat. 6 Happily'a much more conservative approach to treatment has prevailed over the past 10 years. Goodall7 claimed that with daily -baths, shaving of the natal cleft, and withdrawal of protruding hairs some 90% of patients did not require surgery.…”