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A modification of primary closure for the treatment of pilonidal disease in day‐care setting
Author(s) -
Muzi M. G.,
Milito G.,
Nigro C.,
Cadeddu F.,
Fari A. M.
Publication year - 2009
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2008.01534.x
Subject(s) - medicine , surgery , wound dehiscence , pilonidal disease , dehiscence , patient satisfaction , visual analogue scale , complication , randomized controlled trial , anesthesia , sinus (botany) , prospective cohort study , wound closure , wound healing , botany , genus , biology
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.