Excision and primary closure of pilonidal sinus disease: worthwhile option with an acceptable recurrence rate.

Hdl Handle:
http://hdl.handle.net/10147/206593
Title:
Excision and primary closure of pilonidal sinus disease: worthwhile option with an acceptable recurrence rate.
Authors:
Gilani, S N S; Furlong, H; Reichardt, K; Nasr, A O; Theophilou, G; Walsh, T N
Affiliation:
Academic Centre RCSI, Connolly Hospital, Blanchardstown, Dublin 15, Ireland., drnadiagilani7@hotmail.com
Citation:
Ir J Med Sci. 2011 Mar;180(1):173-6. Epub 2010 Jul 27.
Journal:
Irish journal of medical science
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206593
DOI:
10.1007/s11845-010-0532-0
PubMed ID:
20661780
Abstract:
BACKGROUND: Treatment of pilonidal sinus disease is controversial. Many claim policy of marsupialisation and healing by secondary intention. This is demanding in terms of nursing care and time lost from work. AIMS: To examine outcome of excision and primary closure of chronic pilonidal disease on recurrence rate and patient's daily activities. PATIENTS AND METHODS: One hundred and fourteen consecutive elective patients who had excision and primary closure of pilonidal sinus disease were reviewed. The demographic data and the post-operative outcome were studied. RESULTS: The recurrence of pilonidal sinus was noted in 9% of patients, wound breakdown occasioning delayed healing in 9%, patients able to drive by day 16 on average. The mean time to return to work was 20.5 days; duration of analgesia, 2.4 days; and duration of antibiotic treatment, 4.7 days. CONCLUSION: Excision and primary closure of chronic pilonidal sinus has low recurrence rate with early return to activities. Primary closure appears to be a cost-effective option for uncomplicated pilonidal sinus disease.
Language:
eng
MeSH:
Adolescent; Adult; Female; Humans; Male; Middle Aged; Pilonidal Sinus/*surgery; Recurrence; Retrospective Studies; Suture Techniques; Treatment Outcome; Young Adult
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorGilani, S N Sen_GB
dc.contributor.authorFurlong, Hen_GB
dc.contributor.authorReichardt, Ken_GB
dc.contributor.authorNasr, A Oen_GB
dc.contributor.authorTheophilou, Gen_GB
dc.contributor.authorWalsh, T Nen_GB
dc.date.accessioned2012-01-31T16:22:27Z-
dc.date.available2012-01-31T16:22:27Z-
dc.date.issued2012-01-31T16:22:27Z-
dc.identifier.citationIr J Med Sci. 2011 Mar;180(1):173-6. Epub 2010 Jul 27.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid20661780en_GB
dc.identifier.doi10.1007/s11845-010-0532-0en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206593-
dc.description.abstractBACKGROUND: Treatment of pilonidal sinus disease is controversial. Many claim policy of marsupialisation and healing by secondary intention. This is demanding in terms of nursing care and time lost from work. AIMS: To examine outcome of excision and primary closure of chronic pilonidal disease on recurrence rate and patient's daily activities. PATIENTS AND METHODS: One hundred and fourteen consecutive elective patients who had excision and primary closure of pilonidal sinus disease were reviewed. The demographic data and the post-operative outcome were studied. RESULTS: The recurrence of pilonidal sinus was noted in 9% of patients, wound breakdown occasioning delayed healing in 9%, patients able to drive by day 16 on average. The mean time to return to work was 20.5 days; duration of analgesia, 2.4 days; and duration of antibiotic treatment, 4.7 days. CONCLUSION: Excision and primary closure of chronic pilonidal sinus has low recurrence rate with early return to activities. Primary closure appears to be a cost-effective option for uncomplicated pilonidal sinus disease.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPilonidal Sinus/*surgeryen_GB
dc.subject.meshRecurrenceen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSuture Techniquesen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.subject.meshYoung Adulten_GB
dc.titleExcision and primary closure of pilonidal sinus disease: worthwhile option with an acceptable recurrence rate.en_GB
dc.contributor.departmentAcademic Centre RCSI, Connolly Hospital, Blanchardstown, Dublin 15, Ireland., drnadiagilani7@hotmail.comen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-
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