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

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International Journal of Colorectal Disease Aims and scope Submit manuscript

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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Fig. 1

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Abbreviations

PS:

pilonidal sinus

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Authors and Affiliations

  1. Department of Visceral and Transplantation Surgery, University Hospital Zuerich, Raemistrasse 100, CH-8091, Zuerich, Switzerland

    Christopher Soll, Dieter Hahnloser, Daniel Dindo & Pierre-Alain Clavien

  2. Department of Surgery, Cantonal Hospital, 9007, St. Gallen, Switzerland

    Franc Hetzer

Authors
  1. Christopher Soll
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  2. Dieter Hahnloser
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  3. Daniel Dindo
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  4. Pierre-Alain Clavien
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  5. Franc Hetzer
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Correspondence to Dieter Hahnloser.

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Soll, C., Hahnloser, D., Dindo, D. et al. A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more. Int J Colorectal Dis 23, 177–180 (2008). https://doi.org/10.1007/s00384-007-0377-9

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  • DOI: https://doi.org/10.1007/s00384-007-0377-9

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