title: A simple technique for successful primary closure after excision of pilonidal sinus disease.
abstract: Primary closure after excision of postanal pilonidal sinus disease frequently has been complicated by wound break-downs. Healing by second intention takes many weeks and requires supervised wound care. A simple technique has been developed which has resulted in primary healing in 28 of 31 patients treated in a 5-year period. Sepsis and haematoma formation, the causes of wound breakdown after pilonidal sinus excision, have been prevented by preoperative preparation, prophylactic antibiotic administration, wound irrigation with povidone-iodine and simple skin closure over a Redivac suction drain for at least 4 days. This series suggests that primary closure can be successful using the technique described.
authors.affiliation: Royal Adelaide Hospital, South Australia.
authors.forename: R S
authors.initials: RS
authors.lastname: Williams
mesh_terms: D000293:Adolescent; D000328:Adult; D002512:Cephalothin / Q000627:therapeutic use; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D008297:Male; D010864:Pilonidal Sinus / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D011206:Povidone-Iodine / Q000008:administration & dosage; D011300:Preoperative Care / Q000379:methods; D013396:Suction; D013536:Suture Techniques
chemical_list: D011206:Povidone-Iodine; D002512:Cephalothin