Which technique for treatment of pilonidal sinus—Open or closed?

Abstract

Because both techniques have very low complication rates, treatment of chronic pilonidal sinus should be based on patient preference and characteristics, especially employment status.

Is There a Relation Between Natal Cleft Depth and Post-Operative Morbidity After Different Methods of Excision of Sacro-Coccygeal Pilonidal Sinus?

“…Its treatment is usually surgical and remains controversial between wide excision and limited excision and between primary closure and secondary closure [14]. Excision and primary repair techniques result in significantly shorter healing time and earlier return to work, when compared to excision with open packing [15], and treatment of chronic pilonidal sinus should be based on patient preferences and characteristics, especially employment status [16]. In our results, there is significant shorter healing time in closed methods than open methods.…”

Body Image and Cosmesis after Pilonidal Disease Surgery

“…Many surgeons treat pilonidal disease by wide excision of the pilonidal complex-containing tissue, leaving a lay open or a primary sutured midline wound. 11,12 Other surgeons use more sophisticated flap techniques designed to keep the incision away from the midline or flatten the natal cleft. 13,14 One of the most commonly practiced flap technique is Limberg flap.…”

Is Asymmetric Excision Primary Closure at Treatment of Pylonidal Sinus Disease an Appropriate Choice?

“…Biz tüm yöntemler içerisinde kolay, basit, hızlı uygulanabilen asimetrik eksizyon pirimer kapama tekniğini uyguladık. Biz bu çalışmada pilonidal sinüs hastalığının cerrahi tedavisinde asimetrik eksizyon + pirimer kapama tekniğinin sonuçlarını araştırdık [9] . Çalışmamızda kadın/erkek oranı yaklaşık 1/4 olarak saptanmıştır.…”