A modification of primary closure for the treatment of pilonidal disease in day-care setting.
Colorectal Dis
; 11(1): 84-8, 2009 Jan.
Article
en En
| MEDLINE
| ID: mdl-18462226
ABSTRACT
AIM:
The best surgical technique for treating sacrococcygeal pilonidal disease (PD) is still controversial. We evaluated the outcome of a modified primary closure for the treatment of pilonidal sinus.METHOD:
One hundred and fifty-two consecutive patients with PD, who underwent excision and primary closure under local anaesthesia according to our method, participated in this prospective study. The duration of operation and of hospitalization, postoperative pain, time to first mobilization, postoperative complications, time to resumption of work were assessed.RESULTS:
The median operative time was 30 min (range 15-40); the median postoperative pain visual analogue scale score was 1 (range 0-3). All patients were mobilized between 2 and 4 h after surgery and discharged within 10 h. Postoperative complications included eight small debridements of an infected wound (5.3%) and one case of wound dehiscence (0.6%). No recurrence was detected during a median follow-up of 22 months (range 10-34 months).CONCLUSION:
The low complication rate, near total absence of wound dehiscence, the compliance of the patients, the type of anaesthesia and the patient satisfaction makes this method effective. A randomized trial with long-term follow-up is warranted.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Seno Pilonidal
/
Técnicas de Sutura
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Procedimientos Quirúrgicos Ambulatorios
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
Límite:
Adolescent
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Adult
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Female
/
Humans
/
Male
Idioma:
En
Revista:
Colorectal Dis
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2009
Tipo del documento:
Article
País de afiliación:
Italia