OBJECTIVE: To find out the recurrence rate of chronic pilonidal sinus after excision and primary suture compared with open excision and healing by second intention. DESIGN: Randomised trial. SETTING: Teaching hospital, Norway. SUBJECTS:120 Patients treated between 1987 and 1989. INTERVENTIONS:60 Patients were treated byexcision and primary suture and 60 by open excision. The median follow-up period was 4.2 years. RESULTS:Recurrent pilonidal sinus was seen in six patients (10%) after primary suture compared with three patients (5%) after open treatment (p = 0.49); 57 (95%) and 55 (92%), respectively, were satisfied with the outcome of treatment at follow-up (p = 0.72). CONCLUSION:Excision and primary suture compares favourably with open excision and healing by second intention in the treatment of chronic pilonidal sinus.
RCT Entities:
OBJECTIVE: To find out the recurrence rate of chronic pilonidal sinus after excision and primary suture compared with open excision and healing by second intention. DESIGN: Randomised trial. SETTING: Teaching hospital, Norway. SUBJECTS: 120 Patients treated between 1987 and 1989. INTERVENTIONS: 60 Patients were treated by excision and primary suture and 60 by open excision. The median follow-up period was 4.2 years. RESULTS: Recurrent pilonidal sinus was seen in six patients (10%) after primary suture compared with three patients (5%) after open treatment (p = 0.49); 57 (95%) and 55 (92%), respectively, were satisfied with the outcome of treatment at follow-up (p = 0.72). CONCLUSION: Excision and primary suture compares favourably with open excision and healing by second intention in the treatment of chronic pilonidal sinus.
Authors: Michelle B Formanek; Loreen A Herwaldt; Eli N Perencevich; Marin L Schweizer Journal: Surg Infect (Larchmt) Date: 2014-04-28 Impact factor: 2.150
Authors: Dietrich Doll; Jan Friederichs; Anne-Laure Boulesteix; Wolfgang Düsel; Falko Fend; Sven Petersen Journal: Int J Colorectal Dis Date: 2008-05-20 Impact factor: 2.571