Abstract
During a four-year period, 150 consecutive patients were treated for chronic pilonidal disease by one of three different operative techniques. Patients with acute pilonidal abscesses or with complex or multiple recurrent pilonidal disease were excluded from this study. The average healing time was four weeks and the average length of hospital stay was one day. The overall recurrence rate was 8 percent (12 of 150 patients). The method of management most commonly used was fistulotomy with marsupialization of the sinus tract or cyst wall (125 of 150 patients). This simple and effective technique gave excellent results with a 6 percent recurrence rate (7 of 125 patients). On the basis of their experience, the authors propose that chronic pilonidal disease usually can be treated successfully on a same day surgery basis with fistulotomy, minimal excision, and marsupialization.
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References
Mayo H. Observation in injuries and diseases of the rectum. London: Burgess & Hill, 1833.
Anderson AW. Hair extracted from an ulcer. Boston Med Surg J 1847;36:74–6.
Hodges RM. Pilo-nidal sinus. Boston Med Surg J 1880;103:485–6.
Maurice BA, Greenwood RK. A conservative treatment of pilonidal sinus. Br J Surg 1964;51:510–2.
Mansoory A, Dickson D. Z-plasty for treatment of the pilonidal sinus. Surg Gynecol Obstet 1982;155:409–11.
Hurst DW. Pilonidal sinus: an overtreated disease. Can J Surg 1971;14:98–99.
Goodall P. The etiology and treatment of pilonidal sinus: a review of 163 patients. Br J Surg 1961;49:212–8.
Eftaiha M, Abcarian H. The dilemma of pilonidal disease: surgical treatment. Dis Colon Rectum 1977;20:279–86.
Foss MV. Pilonidal sinus: excision and closure. Proc R Soc Med 1970;63:752–8.
Kleckner MS. Pilonidal sinus: its surgical management. Trans Am Proctol Soc 1936;37:166–73.
Weinstein MA, Rubin RJ, Salvati EP. The dilemma of pilonidal disease: pilonidal cystotomy, reappraisal of an old technique. Dis Colon Rectum 1977;20:287–9.
Buie L. Practical proctology. Philadelphia: WB Saunders, 1937.
Buie LA, Curtiss RK. Pilonidal disease. Surg Clin North Am 1952;32:1247–57.
Abramson JD. An open, semiprimary closure operation for pilonidal sinus, using local anesthesia. Dis Colon Rectum 1970;13:215–9.
Goodall P. Management of pilonidal sinus. Proc R Soc Med 1975;68:675–8.
Reeder D, McGehee RN. Office management of pilonidal disease and common anorectal lesions. Am Fam Physician 1973;8:179–80.
Bascom J. Pilonidal disease: long-term results of follicle removal. Dis Colon Rectum 1983;26:800–7.
Bascom JV. Repeat pilonidal operations. Am J Surg 1987;154:118–22.
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Solla, J.A., Rothenberger, D.A. Chronic pilonidal disease. Dis Colon Rectum 33, 758–761 (1990). https://doi.org/10.1007/BF02052321
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DOI: https://doi.org/10.1007/BF02052321