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

Soll, Christopher ; Hahnloser, Dieter ; Dindo, Daniel ; Clavien, Pierre-Alain ; Hetzer, Franc

In: International Journal of Colorectal Disease, 2008, vol. 23, no. 2, p. 177-180

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    Titre
    • A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more
    Auteur
    • Soll, Christopher. Department of Visceral and Transplantation Surgery, University Hospital Zuerich, Raemistrasse 100, CH-8091, Zuerich, Switzerland
    • Hahnloser, Dieter. Department of Visceral and Transplantation Surgery, University Hospital Zuerich, Raemistrasse 100, CH-8091, Zuerich, Switzerland
    • Dindo, Daniel. Department of Visceral and Transplantation Surgery, University Hospital Zuerich, Raemistrasse 100, CH-8091, Zuerich, Switzerland
    • Clavien, Pierre-Alain. Department of Visceral and Transplantation Surgery, University Hospital Zuerich, Raemistrasse 100, CH-8091, Zuerich, Switzerland
    • Hetzer, Franc. Department of Surgery, Cantonal Hospital, 9007, St. Gallen, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • International Journal of Colorectal Disease, 2008, vol. 23, no. 2, p. 177-180. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:316350
    Summary
    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 2years, the recurrence rate was 5%. The median time off work was 2weeks. The median wound healing time was 5weeks. Conclusion: Limited excision for PS can be done in an outpatient setting with a low recurrence rate and short time off work