Abstract
Primary closure after excision of postanal pilonidal sinus disease frequently has been complicated by wound break-downs. Healing by second intention takes many weeks and requires supervised wound care. A simple technique has been developed which has resulted in primary healing in 28 of 31 patients treated in a 5-year period. Sepsis and haematoma formation, the causes of wound breakdown after pilonidal sinus excision, have been prevented by preoperative preparation, prophylactic antibiotic administration, wound irrigation with povidone-iodine and simple skin closure over a Redivac suction drain for at least 4 days. This series suggests that primary closure can be successful using the technique described.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Notaras M. J. A review of three popular methods of treatment of postanal (pilonidal) sinus disease. Br J Surg. 1970 Dec;57(12):886–890. doi: 10.1002/bjs.1800571204. [DOI] [PubMed] [Google Scholar]
- Zamora J. L. Povidone-iodine and wound infection. Surgery. 1984 Jan;95(1):121–122. [PubMed] [Google Scholar]