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International Journal of Colorectal Disease

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01-02-2008 | Original Article

A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more

Authors: Christopher Soll, Dieter Hahnloser, Daniel Dindo, Pierre-Alain Clavien, Franc Hetzer

Published in: International Journal of Colorectal Disease | Issue 2/2008

Abstract

Background

The surgical management of sacrococcygeal pilonidal sinus (PS) is still a matter of discussion. Therapy ranges from complete wide excision with or without closure of the wound to excochleation of the sinus with a brush. In this paper, we introduce a novel limited excision technique. The aim of this study was to assess the morbidity and recurrence rate of this technique.

Materials and methods

Limited excision consisted of a selective extirpation of the sinus after tagging the tract with methylene blue. Ninety-three consecutive patients, who underwent surgery between 2001 and 2004, were analyzed. The patients’ survey was performed by mail questionnaire and telephone interview inquiring recurrence, time off work, and time to wound healing.

Results

Seventy-three percent of the patients were treated in an outpatient setting. With a median follow-up of 2 years, the recurrence rate was 5%. The median time off work was 2 weeks. The median wound healing time was 5 weeks.

Conclusion

Limited excision for PS can be done in an outpatient setting with a low recurrence rate and short time off work.

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Title: A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more
Authors: Christopher Soll
Dieter Hahnloser
Daniel Dindo
Pierre-Alain Clavien
Franc Hetzer
Publication date: 01-02-2008
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 2/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-007-0377-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more

Abstract

Background

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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