[New concept in the treatment of the pilonidal sinus].
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.
Kapp
Th
T
Klinik für Chirurgie, Kantonsspital St. Gallen.
Zadnikar
M
M
Hahnloser
D
D
Soll
Ch
Ch
Hetzer
F H
FH
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