title: [New concept in the treatment of the pilonidal sinus].
abstract: Symptomatic pilonidal sinus is characterized by an acute or a chronic inflammation. The surgical management of symptomatic pilonidal sinus is still a matter of discussion and no clear recommendations exists. On the basis of results from published studies and our own experience we developed a new two step therapy concept: Infected pilonidal were first drained by a small excision of the abscess (if possible in local anesthesia) followed by a close fistula excision. With this approach we were able to achieve a low morbidity and a high healing rate. In the case of extensive fistulating pilonidal sinus or recurrent disease we recommend radical excision and primary reconstructive flap what showed good aesthetic results.
authors.affiliation: Klinik für Chirurgie, Kantonsspital St. Gallen.
authors.forename: Th
authors.initials: T
authors.lastname: Kapp
authors.forename: M
authors.initials: M
authors.lastname: Zadnikar
authors.forename: D
authors.initials: D
authors.lastname: Hahnloser
authors.forename: Ch
authors.initials: Ch
authors.lastname: Soll
authors.forename: F H
authors.initials: FH
authors.lastname: Hetzer
mesh_terms: D004322:Drainage; D004954:Esthetics; D006801:Humans; D010864:Pilonidal Sinus / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications; D012008:Recurrence; D013524:Surgical Flaps; D013536:Suture Techniques; D013997:Time Factors; D014945:Wound Healing