title: [Therapy of the pilonidal sinus--Primary wound closure or open wound after excision].
abstract: The postoperative follow up of 177 operations in 162 patients with pilonidal sinus was investigated. After excision of the sinus a primary wound closure was performed in 80 cases; in 83 cases the wound was left open. After primary wound closure 40 % of the patients showed a primary healing of the wound. Although the remaining 60 % of the wounds healed secondarily the patients were not disabled longer and did not demonstrate more frequently recurrences than those with open wound management. As a consequence we recommend a primary wound closure after excision of a pilonidal sinus.
authors.affiliation: Abteilung Allgemein- und Viszeralchirurgie, Chirurgische Universitätsklinik Freiburg, Germany. baier@chir.ukl.uni-freiburg.de
authors.forename: P K
authors.initials: PK
authors.lastname: Baier
authors.forename: U
authors.initials: U
authors.lastname: Baumgartner
authors.forename: A
authors.initials: A
authors.lastname: Furtwängler
authors.forename: F
authors.initials: F
authors.lastname: Holzinger
authors.forename: U
authors.initials: U
authors.lastname: Schöffel
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010864:Pilonidal Sinus / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013536:Suture Techniques; D014945:Wound Healing / Q000502:physiology