title: Excision with primary closure and suction drainage for pilonidal sinus in adolescent patients.
abstract: Controversy persists regarding the treatment of pilonidal sinus (PS). To evaluate the efficacy of excision with primary closure and closed-suction drainage in adolescent patients, between 1990 and 1999, 34 consecutive patients aged 13-18 years (mean 16.4) underwent PS excision with primary closure and suction drainage. Anesthesia was general in 16 (47%) and spinal in 18 (53%) with a statistical age difference ( P< 0.001) (15.5 vs 17.2 years, respectively). No complications due to the anesthetic were observed. Twenty-one patients (61.8%) had day-case surgery while the others were hospitalized for 2 to 4 days (average 2.3 days). The drain was removed on postoperative day 2 to 6 (average 2.2). Primary healing with no postoperative complications occurred in 30 patients (88.2%); 1 underwent partial opening of the wound because of rupture of the drainage tube during its removal. Postoperative infections requiring incision, drainage, and lay-open occurred in 3 cases (9.1%). No recurrence was found at 12-month follow-up. One recurrence (2.9%) was noted 3 years after surgery. Excision with primary closure and closed-suction drainage as an ambulatory procedure is thus a simple and effective method of treatment of uncomplicated PS in adolescents.
authors.affiliation: Department of Pediatric Surgery, The Edith Wolfson Medical Center, P.O. Box 5, Holon 58100, Israel.
authors.forename: F
authors.initials: F
authors.lastname: Serour
authors.forename: E
authors.initials: E
authors.lastname: Somekh
authors.forename: B
authors.initials: B
authors.lastname: Krutman
authors.forename: A
authors.initials: A
authors.lastname: Gorenstein
mesh_terms: D000293:Adolescent; D000556:Ambulatory Surgical Procedures; D000768:Anesthesia, General; D000775:Anesthesia, Spinal; D005260:Female; D006801:Humans; D008297:Male; D010864:Pilonidal Sinus / Q000601:surgery*; D012008:Recurrence; D013396:Suction; D016896:Treatment Outcome