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The dilemma of pilonidal disease: Surgical treatment

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Diseases of the Colon & Rectum

Conclusion

Wide excision of pilonidal disease, allowing the wound to heal by granulation, has been utilized with excellent results in 175 patients. This procedure offers the following advantages: 1) It is suitable for all patients (sinus, cyst or abscess; primary or recurrent). 2) It shortens the hospital stay and reduces the number of sick day. 3) It permits early ambulation of the patients and their return to normal activity. 4) It minimizes the possibility of recurrence.

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References

  1. Abramson DJ: A simple marsupialization technic for treatment of pilonidal sinus: Long-term follow up. Ann Surg 151: 261, 1960

    Article  PubMed  CAS  Google Scholar 

  2. Abramson DJ: An open, semiprimary closure operation for pilonidal sinuses, using local anesthesia. Dis Colon Rectum 13: 215, 1970

    PubMed  CAS  Google Scholar 

  3. Anderson AW: Hair extracted from an ulcer. Boston Med Surg J 36: 74, 1847

    Google Scholar 

  4. Brearley R: Pilonidal sinus: A new theory of origin. Br J Surg 43: 62, 1955

    Article  PubMed  CAS  Google Scholar 

  5. Buie LA, Curtiss RK: Pilonidal disease. Surg Clin North Am 32: 1247, (Aug) 1952

    Google Scholar 

  6. Close AS: Pilonidal cysts: An analysis of surgical failures. Ann Surg 141: 523, 1955

    PubMed  CAS  Google Scholar 

  7. Davage ON: The origin of sacrococcygeal pilonidal sinuses based on an analysis of four hundred sixty-three cases. Am J Pathol 30: 1191, 1954.

    PubMed  CAS  Google Scholar 

  8. Ferguson LK, Mecray PM Jr: Pilonidal cysts: Excision and primary suture in ambulatory patients. Am J Surg 36: 270, 1937

    Article  Google Scholar 

  9. Foss MV: Pilonidal sinus: Excision and closure. Proc R Soc Med 63: 752, 1970

    PubMed  CAS  Google Scholar 

  10. Fox SL: The origin of pilonidal sinus with an analysis of its comparative anatomy and histogenesis. Surg Gynecol Obstet 60: 137, 1935

    Google Scholar 

  11. Franckowiak J, Jackman RJ: The etiology of pilonidal sinus. Dis Colon Rectum 5: 28, 1962

    PubMed  CAS  Google Scholar 

  12. Gabriel WB: The Principles and Practice of Rectal Surgery. Ed. 5, Springfield Ill., Charles C Thomas, 1963, p 326

    Google Scholar 

  13. Gage M: Pilonidal sinus: An explanation of its embryologic development. Arch Surg 31: 175, 1935

    Google Scholar 

  14. Goodall P: The aetiology and treatment of pilonidal sinus: A review of 163 patients. Br J Surg 49: 212, 1961

    Article  PubMed  CAS  Google Scholar 

  15. Healey MJ Jr, Hoffert PW: Pilonidal sinus and cyst: A comparative evaluation of various surgical methods in 229 consecutive cases. Am J Surg 87: 578, 1954

    Article  Google Scholar 

  16. Hodges RM: Pilo-nidal sinus. Boston Med Surg J 103: 485; 493; 544, 1880

    Google Scholar 

  17. Hueston JT: The aetiology of pilonidal sinuses. Br J Surg 41: 307, 1953.

    Article  PubMed  CAS  Google Scholar 

  18. Kallett HI: Pilonidal sinus: The factor of adolescence. Trans Am Proctol Soc 37: 163, 1936.

    Google Scholar 

  19. Karydakis GE: New approach to the problem of pilonidal sinus. Lancet 2: 1414, 1973

    Article  PubMed  CAS  Google Scholar 

  20. King ES: The interdigital pilcnidal sinus. Aust NZ J Surg 19: 29, 1949

    CAS  Google Scholar 

  21. Kleckner MS: Pilonidal sinus: Its surgical management. Trans Am Proctol Soc 36: 166, 1936

    Google Scholar 

  22. Kooistra HP: Pilonidal sinuses: Review of the literature and report of three hundred fifty cases. Am J Surg 55: 3, 1942

    Article  Google Scholar 

  23. Maurice BA, Greenwood RK: A conservative treatment of pilonidal sinus. Br J Surg 51: 510, 1964

    Article  PubMed  CAS  Google Scholar 

  24. Notares MJ: A review of three popular methods of treatment of postanal (pilonidal) sinus disease. Br J Surg 57: 886, 1970

    Article  Google Scholar 

  25. Patey DH, Scarff RW: Pathology of postanal pilonidal sinus: Its bearing on treatment. Lancet 2: 484, 1946

    Article  Google Scholar 

  26. Patey DH, Scarff RW: Pilonidal sinus in a barber's hand with observations on postanal pilonidal sinus. Lancet 2: 13, 1948

    Article  CAS  PubMed  Google Scholar 

  27. Patey DH, Scarff RW: The hair of the pilonidal sinus. Lancet 1: 772, 1955

    Article  Google Scholar 

  28. Pope CE, Hudson HW: Pilonidal sinus: A review of 130 consecutive cases in which patients were treated by closure; a new closed operative method and management. Arch Surg 52: 690, 1946

    Google Scholar 

  29. Shons AR, Mountjoy JR: Pilonidal disease: The case for excision with primary closure. Dis Colon Rectum 14: 353, 1971

    Article  PubMed  CAS  Google Scholar 

  30. Stewart TJ, Bell M: The treatment of pilonidal sinus by phenol injection. Ulster Med J 38: 167 (summer) 1969

    PubMed  CAS  Google Scholar 

  31. Stone HB: The origin of pilonidal sinus. Ann Surg 94: 317, 1931

    Google Scholar 

  32. Turell R, Gladstone AA: Collective review; pilonidal (sacrococcygeal) sinus and cyst. Int Abst Surg 93: 417, 1951

    CAS  Google Scholar 

  33. Zimmerman K: Pilonidal disease. Dis Colon Rectum 13: 330, 1970

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Section of Colon and Rectal Surgery, Cook County Hospital, 1825 West Harrison Street, 60612, Chicago, Illinois

    Mohammed Eftaiha M.D. &  Herand Abcarian M.D., F.A.C.S.

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  1. Mohammed Eftaiha M.D.
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  2. Herand Abcarian M.D., F.A.C.S.
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Eftaiha, M., Abcarian, H. The dilemma of pilonidal disease: Surgical treatment. Dis Colon Rectum 20, 279–286 (1977). https://doi.org/10.1007/BF02586423

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