The treatment of acute postanal pilonidal abscess

Millar, Douglas M.; Lord, Peter F.

doi:10.1002/bjs.1800540707

Cited by 16 publications

(7 citation statements)

References 5 publications

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“…Lord and Millar's technique has more or less similar recurrence rate. It involves excision of the pits, removal of hair and brushing of tracts 15,16 . Reconstructive surgical procedures after excision of the PNS can be performed in cases of failure of the classic excision and for complex or complicated PNS.…”

Section: Discussionmentioning

confidence: 99%

“…1 There are many types of surgical interventions to treat PNS. [9][10][11][12][13][14][15][16] Nevertheless, the recurrence rate is high. All forms of surgical management have a significant failure rate, with a high incidence of recurrence following any of these procedures.…”

Section: Discussionmentioning

confidence: 99%

“…It involves excision of the pits, removal of hair and brushing of tracts. 15,16 Reconstructive surgical procedures after excision of the PNS can be performed in cases of failure of the classic excision and for complex or complicated PNS. These procedures aim to flatten the natal cleft.…”

Section: Discussionmentioning

confidence: 99%

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Effect of hair removal by Nd:YAG laser on the recurrence of pilonidal sinus

Badawy

Kanawati²

2009

Acad Dermatol Venereol

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effect of hair removal by Nd:YAG laser on the recurrence of pilonidal sinus

Badawy

Kanawati²

2009

Acad Dermatol Venereol

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“…Such diversity suggests that no single technique has emerged as the favourite to prevent recurrence of this condition. 3 These include conservative nonexcisional care, 4 phenol injection, [5][6][7][8] pit excision and tract brushing (Millar-Lord procedure), 9,10 Bascom procedure, [11][12][13] excision and leaving the wound to granulate, [14][15][16][17] excision and marsupialisation, 17,18 excision and primary closure with mid-line or asymmetric incisions, [14][15][16][17][18][19][20] or excision and closure using local flaps. The latter include Karydakis procedure, [21][22][23][24] Romboid and Limberg flaps, [25][26][27][28] Z-plasty, [29][30][31] and V-Y flaps, [32][33][34][35] or other reconstructions.…”

Section: Discussionmentioning

confidence: 99%

Sinus Excision, Release of Coccycutaneous Attachments and Dermal-Subcuticular Closure (XRD Procedure): A Novel Technique in Flattening the Natal Cleft in Pilonidal Sinus Treatment

Marzouk

AbouZeid

Antoniou

et al. 2008

annals

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INTRODUCTION The objective of this study was to analyse, prospectively, the outcome of a new technique -excision of pilonidal sinus and flattening the natal cleft by division of the coccycutaneous attachments at the lower end of the incision.PATIENTS AND METHODS Sixty-six consecutive patients with chronic pilonidal sinuses were treated between 1995 and 2001. The procedure consisted of an elliptical, wide, local excision, release of the coccycutaneous attachments and primary closure using dermal-subcuticular closure (XRD). Suction drains were used until drainage was minimal. The height of skin level at the lower angle of the wound from the coccyx was measured intra-operatively before and after division of the coccycutaneous attachments. Postoperatively, patients were assessed for hospital stay, return to normal activity, complications and recurrence.RESULTS Sixty-four patients (97%) were males, median age 27 years. The height of skin level rose from a mean of 1.8 cm (95% CI, 1.78-1.85) to a mean of 3.8 cm (95% CI, 3.77-3.88; P < 0.001). Morbidity affected 12 patients (18%), epidermal separation of the lower wound angles (6 patients), seromas (5 patients) and 1 wound dehiscence at 2 weeks. All other wounds healed primarily without dehiscence. There were no recurrences after a median follow-up of 22.5 months (range, 12-38 months).CONCLUSIONS Release of the coccycutaneous attachments is an easy technique to learn, which seems to be an effective way of flattening the natal cleft and may result in lower recurrence rate. This technique should be tried in uncomplicated pilonidal sinus disease before more complex procedures are attempted. MARZOUK ABOU-ZEID ANTONIOU HAJI BENZIGER NOVEL TECHNIQUE IN FLATTENING THE NATAL CLEFT IN PILONIDAL SINUS TREATMENT

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“…There are many types of surgical interventions to treat PNS (40)(41)(42)(43)(44)(45)(46)(47). Nevertheless, all forms of surgical management have a significant failure rate, with a high incidence of recurrence (30).…”

Section: Surgical Management Of Pnsmentioning

confidence: 99%

Nd:YAG Laser (1064 nm) in Management of Pilonidal Sinus

Badawy¹

2012

Nd YAG Laser

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The treatment of acute postanal pilonidal abscess

Cited by 16 publications

References 5 publications

Effect of hair removal by Nd:YAG laser on the recurrence of pilonidal sinus

Effect of hair removal by Nd:YAG laser on the recurrence of pilonidal sinus

Sinus Excision, Release of Coccycutaneous Attachments and Dermal-Subcuticular Closure (XRD Procedure): A Novel Technique in Flattening the Natal Cleft in Pilonidal Sinus Treatment

Nd:YAG Laser (1064 nm) in Management of Pilonidal Sinus

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