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Published in: Surgery Today 9/2014

01-09-2014 | Original Article

Intradermal absorbable sutures to close pilonidal sinus wounds: a safe closure method?

Authors: Marco Milone, Mario Musella, Paola Maietta, Paolo Bianco, Caterina Taffuri, Giuseppe Salvatore, Francesco Milone

Published in: Surgery Today | Issue 9/2014

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Abstract

Purpose

The aim of this study was to demonstrate the safety of using intradermal absorbable sutures for pilonidal sinus skin closure.

Methods

The study was prospectively carried out in 203 patients randomized into two groups of patients. In the first group (103 patients), interrupted sutures were used; in the second group (100 patients), a continuous intradermal suture was used. We have analyzed the time off work, time to walk without pain, time to sit on the toilet without pain, wound infections, satisfaction rate and esthetic results.

Results

There were no significant differences between the groups with regard to the time off work, time to walk without pain and time to sit on a toilet without pain. There was also no significant difference between the groups with regard to the wound infection rates (p = 0.64). The study suggested that the patients’ satisfaction was higher when an intradermal suture was used (p = 0.001). Similarly, a better cosmetic appearance of the scar was obtained with an intradermal suture (p = 0.01).

Conclusions

Our results suggest that using intradermal sutures after excision and primary closure of the pilonidal sinus is safe and has advantages in terms of the cosmetic results and patient satisfaction.
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Metadata
Title
Intradermal absorbable sutures to close pilonidal sinus wounds: a safe closure method?
Authors
Marco Milone
Mario Musella
Paola Maietta
Paolo Bianco
Caterina Taffuri
Giuseppe Salvatore
Francesco Milone
Publication date
01-09-2014
Publisher
Springer Japan
Published in
Surgery Today / Issue 9/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-013-0741-z

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