Sacrococcygeal Pilonidal Sinus
I was a 25-year-old trainee at the Department of Surgery of the Catholic University in Rome when I operated on my first patient with sacrococcygeal pilonidal sinus. The only such procedure I had seen until then had been carried out at our institution, i.e., excision of the infected sinus, leaving the wound open after suturing of the gluteal to the presacral fascia. This is the procedure I performed, packing the wound with a wad of gauze anchored with several plasters to the iliac crest. The patient was then returned to his room, where he remained, immobile in bed in a prone position with a heavy bag of sand compressing the surgical wound.
KeywordsPilonidal Sinus Pilonidal Disease Pilonidal Sinus Disease Limberg Flap Suture Dehiscence
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- Al-Khamis A, McCallum I, King PM, Bruce J (2010) Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev 20:CD006213Google Scholar
- Bascom JU (1996) Procedures for Pilonidal Sinus. In: Pitt HA, Carter DC, Russell RCG (eds) Atlas of general surgery, 3rd edn. Chapman and Hall, MelbourneGoogle Scholar
- Borges VF, Keating JT, Nasser IA, Cooley TP, Greenberg HL, Dezube BJ (2001) Clinicopathologic characterization of squamous-cell carcinoma arising from pilonidal disease in association with condylomata acuminatum in HIV-infected patients: report of two cases. Dis Colon Rectum 44:1873–1877PubMedCrossRefGoogle Scholar
- Gencosmanoglu R, Inceoglu R (2005) Modified lay-open (incision, curettage, partial lateral wall excision and marsupialization) versus total excision with primary closure in the treatment of chronic sacrococcygeal pilonidal sinus: a prospective, randomized clinical trial with a complete two-year follow-up. Int J Colorectal Dis 20:415–422PubMedCrossRefGoogle Scholar
- Keighley MA (2001) Anorectal Disorders. In: Baker RJ, Fischer JE (eds) Mastery of surgery, 4th edn. Lippincott Williams & Kilkins, SydneyGoogle Scholar
- Maghsoudi H, Nezami N, Ghamari AA (2011) Ambulatory treatment of chronic pilonidal sinuses with lateral incision and primary suture. Can J Surg 54 epub ahead of printGoogle Scholar
- Tinsley P (2002) The management of a pilonidal sinus and its follow-up care. Br JNurs 11:S31–S36Google Scholar
- Webb PM, Wysocki AP (2011) Does pilonidal abscess heal quicker with off-midline incision and drainage? Tech Coloproctol 15 (in press)Google Scholar