Abstract
The first reported case of a successfully treated pilonidal sinus was described by Anderson in 1847 [1]. Since then, numerous procedures have been used to treat this pathology. They run the gamut from simple injection of phenol [2] to radical excision of the affected area with or without primary closure [3–6], including Z-plasty and lumbar rotation flaps to close the defect [7]. This multiplicity of surgical techniques, together with reported recurrence rates varying from 1% to 43% [5, 6], are testimony to the morbidity of the disease and the inefficacy of its treatment.
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References
Anderson AW (1847) Hair extracted from an ulcer. Bost Med Surg J 36: 74
Stansby G, Greatorex R (1989) Phenol treatment of pilonidal sinuses of the natal cleft. Br J Surg 76: 729–730
Goodall P (1961) The aetiology and treatment of pilonidal sinus. A review of 163 patients. Br J Surg 49: 212–218
Clothier PR, Haywood IR (1984) The natural history of post anal (pilonidal) sinus. Ann R Coll Surg Engl 66: 201–203
Wood RAB, Williams RHP, Hughes LE (1977) Foam elastomer dressing in the management of open granulating wounds: experience with 250 patients. Br J Surg 64: 554–557
Sood SC, Green JR, Parui R (1975) Results of various operations for sacrococcygeal pilonidal disease. Plast Reconstr Surg 56: 559–566
Lamke LO, Larsson J, Nylen B (1979) Treatment of pilonidal sinus by radical excision and reconstruction by rotation flap surgery or Z-plasty technique. Scand J Plast Reconstr Surg 13: 351–353
Allen-Mersh TG (1990) Pilonidal sinus: finding the right track for treatment. Br J Surg 77: 123–132
Kronborg O, Christensen K, Zimmermann-Nielsen C (1985) Chronic pilonidal disease: a randomized trial with a complete 3-year follow-up. Br J Surg 72: 303–304
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© 1992 Springer-Verlag Berlin Heidelberg
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Khawaja, H.T., Weaver, P.C. (1992). Excision and Primary Closure or Excision and Secondary Healing in the Treatment of Natal Cleft Sinus: A Prospective Study. In: Givel, JC., Oates, G.D., Thomson, J.P.S. (eds) Updates in Colo-Proctology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-51680-1_11
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DOI: https://doi.org/10.1007/978-3-642-51680-1_11
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-55327-4
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