Fatih Ciftci1, Ibrahim Abdurrahman2, Mirhan Tosun1, Gurhan Bas3. 1. Department of General Surgery, Istanbul Gelisim University Safa Hospital Yıldız Tepe Mahallesi, Bagcilar Cad., No: 108, Istanbul, Turkey. 2. Department of Emergency, Istanbul Safa Hospital Yıldız Tepe Mahallesi, Bagcilar Cad., No: 108, Istanbul, Turkey. 3. Department of General Surgery, Istanbul Umraniye Education and Research Hospital Elmalı Kent Mahallesi, Umraniye, Istanbul 34764, Turkey.
Abstract
AIM: To compare incision and drainage with oblique excision and primary closure in the treatment of pilonidal abscesses. MATERIALS AND METHODS: In this prospective study, one of two surgeons at the same hospital performed incision and drainage as the treatment method for patients presenting with pilonidal abscesses. (Group A). The other surgeon performed oblique excision and primary closure (Group B). The rate of development of chronic pilonidal sinus and time to return to active work were assessed using the chi-square and Student's t-tests to compare the two methods of treatment. Of the 128 patients, incision and simple drainage was applied to 69 patients and primary closure was applied to 59 patients. RESULTS: The rate of development of chronic pilonidal sinus was 78.8% in Group A and 6.0% in Group B (P < 0.001). In Group A, the average healing time and time to return to active work were 18 and 25 days, respectively. In Group B, these times were 22 and 27 days, respectively (P < 0.001). CONCLUSION: Oblique excision and primary closure may be a preferable treatment for acute pilonidal abscesses because of its low rate of chronic sinus development.
AIM: To compare incision and drainage with oblique excision and primary closure in the treatment of pilonidal abscesses. MATERIALS AND METHODS: In this prospective study, one of two surgeons at the same hospital performed incision and drainage as the treatment method for patients presenting with pilonidal abscesses. (Group A). The other surgeon performed oblique excision and primary closure (Group B). The rate of development of chronic pilonidal sinus and time to return to active work were assessed using the chi-square and Student's t-tests to compare the two methods of treatment. Of the 128 patients, incision and simple drainage was applied to 69 patients and primary closure was applied to 59 patients. RESULTS: The rate of development of chronic pilonidal sinus was 78.8% in Group A and 6.0% in Group B (P < 0.001). In Group A, the average healing time and time to return to active work were 18 and 25 days, respectively. In Group B, these times were 22 and 27 days, respectively (P < 0.001). CONCLUSION: Oblique excision and primary closure may be a preferable treatment for acute pilonidal abscesses because of its low rate of chronic sinus development.
Entities:
Keywords:
Pilonidal abscess; incision and drainage; oblique excision and primary closure
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