Abstract
A great variety of procedures have been proposed for the cure of Sacrococcygeal pilonidal disease. Initial enthusiasm has usually given way to disappointment when it is realized that the treatment is painful, the hospitalization is prolonged, the aftercare is tedious or the original condition appears to have recurred. A technique is described which permits the total extirpation of cyst and sinus tracts while allowing for a tensionless wound closure by advancement of a buttock flap. Hospitalization is brief and the postoperative course is comfortable. Fifty such operations have been performed since November 1968. In the first group of thirty patients operated upon between three and ten years ago, a single bonafide failure occurred. An additional twenty patients have been successfully treated for an overall failure rate of 2%.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ABRAMSON D. J. A simple marsupialization technic for treatment of pilonidal sinus: long-term follow up. Ann Surg. 1960 Feb;151:261–267. doi: 10.1097/00000658-196002000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BREARLEY R. Pilonidal sinus; a new theory of origin. Br J Surg. 1955 Jul;43(177):62–68. doi: 10.1002/bjs.18004317708. [DOI] [PubMed] [Google Scholar]
- Gage A. A., Dutta P. Cryosurgery for pilonidal disease. Am J Surg. 1977 Feb;133(2):249–254. doi: 10.1016/0002-9610(77)90093-9. [DOI] [PubMed] [Google Scholar]
- HUESTON J. T. The aetiology of pilonidal sinuses. Br J Surg. 1953 Nov;41(167):307–311. doi: 10.1002/bjs.18004116716. [DOI] [PubMed] [Google Scholar]
- Hirshowitz B., Mahler D., Kaufmann-Friedmann K. Treatment of pilonidal sinus. Surg Gynecol Obstet. 1970 Jul;131(1):119–122. [PubMed] [Google Scholar]
- Holm J., Hultén L. Simple primary closure for pilonidal disease. Acta Chir Scand. 1970;136(6):537–540. [PubMed] [Google Scholar]
- LALOR T. J. The plastic flap in closure of the pilonidal cyst excision defect; experience with twenty-five cases. J Int Coll Surg. 1954 Aug;22(2 1):181–189. [PubMed] [Google Scholar]
- MAURICE B. A., GREENWOOD R. K. A CONSERVATIVE TREATMENT OF PILONIDAL SINUS. Br J Surg. 1964 Jul;51:510–512. doi: 10.1002/bjs.1800510711. [DOI] [PubMed] [Google Scholar]
- MONRO R. S., MCDERMOTT F. T. THE ELIMINATION OF CAUSAL FACTORS IN PILONIDAL SINUS TREATED BY Z-PLASTY. Br J Surg. 1965 Mar;52:177–181. doi: 10.1002/bjs.1800520306. [DOI] [PubMed] [Google Scholar]
- Middleton M. D. Treatment of pilonidal sinus by Z-plasty. Br J Surg. 1968 Jul;55(7):516–518. doi: 10.1002/bjs.1800550706. [DOI] [PubMed] [Google Scholar]
- PALUMBO L. T., LARIMORE O. M., KATZ I. A. Pilonidal cysts and sinuses; a statistical review. AMA Arch Surg. 1951 Dec;63(6):852–857. doi: 10.1001/archsurg.1951.01250040868016. [DOI] [PubMed] [Google Scholar]
- Page B. H. The entry of hair into a pilonidal sinus. Br J Surg. 1969 Jan;56(1):32–32. doi: 10.1002/bjs.1800560107. [DOI] [PubMed] [Google Scholar]
- Pearce A. E. Pilonidal cystectomy with partial closure and packing. Am J Proctol. 1967 Feb;18(1):34–36. [PubMed] [Google Scholar]
- RAFFMAN R. A. A re-evaluation of the pathogenesis of pilonidal sinus. Ann Surg. 1959 Nov;150:895–903. doi: 10.1097/00000658-195911000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- RAINS A. J. Treatment of pilonidal sinus by excision and primary closure. Br Med J. 1959 Aug 15;2(5145):171–173. doi: 10.1136/bmj.2.5145.171. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stephens F. O., Sloane D. R. Conservative management of pilonidal sinus. Surg Gynecol Obstet. 1969 Oct;129(4):786–788. [PubMed] [Google Scholar]