UNLABELLED: A chronically infected sacral wound requiring repeated shaving, cleansing and dressing after treatment of pilonidal sinus disrupts both work and social activity. OBJECTIVE: To compare delay in pilonidal sinus wound healing after laying open with that after primary closure. PATIENTS AND METHOD: Healing time and recurrence were recorded in a consecutive series of 102 patients in one hospital undergoing either asymmetric primary closure (Karydakis procedure) by a single surgeon or laying open by other surgeons. RESULTS: The interval from operation to cessation of wound dressing was significantly shorter (log rank test, P < 0.0003) after primary closure (median 3 weeks, iqr 3-6) compared with laying open (median 6 weeks, iqr 4-8). No primary closure (0%) and 10 laid open (19%) wounds remained unhealed at 10 weeks from operation (2 × 2 contingency table, P = 0.003). No significant difference was demonstrated (Mann-Whitney U-test) between healing time in elective (median 3 weeks, iqr 3-6) compared with emergency (median 3 weeks, iqr 3-3) admissions treated by primary closure. CONCLUSIONS: Prolonged delay in healing after surgical treatment of pilonidal sinus is avoidable.
UNLABELLED: A chronically infected sacral wound requiring repeated shaving, cleansing and dressing after treatment of pilonidal sinus disrupts both work and social activity. OBJECTIVE: To compare delay in pilonidal sinus wound healing after laying open with that after primary closure. PATIENTS AND METHOD: Healing time and recurrence were recorded in a consecutive series of 102 patients in one hospital undergoing either asymmetric primary closure (Karydakis procedure) by a single surgeon or laying open by other surgeons. RESULTS: The interval from operation to cessation of wound dressing was significantly shorter (log rank test, P < 0.0003) after primary closure (median 3 weeks, iqr 3-6) compared with laying open (median 6 weeks, iqr 4-8). No primary closure (0%) and 10 laid open (19%) wounds remained unhealed at 10 weeks from operation (2 × 2 contingency table, P = 0.003). No significant difference was demonstrated (Mann-Whitney U-test) between healing time in elective (median 3 weeks, iqr 3-6) compared with emergency (median 3 weeks, iqr 3-3) admissions treated by primary closure. CONCLUSIONS: Prolonged delay in healing after surgical treatment of pilonidal sinus is avoidable.
Authors: V K Stauffer; M M Luedi; P Kauf; M Schmid; M Diekmann; K Wieferich; B Schnüriger; D Doll Journal: Sci Rep Date: 2018-02-15 Impact factor: 4.379
Authors: Dietrich Doll; Andriu Orlik; Katharina Maier; Peter Kauf; Marco Schmid; Maja Diekmann; Andreas P Vogt; Verena K Stauffer; Markus M Luedi Journal: Sci Rep Date: 2019-10-22 Impact factor: 4.379