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[Pilonidal Sinus -- Primary Closure also in Case of Abscess?]
1Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Evang. Huyssens-Stiftung, Essen. a.ommer@kliniken-essen-mitte.de
Zentralblatt Fur Chirurgie
|July 9, 2004
Summary
Primary closure for pilonidal sinus surgery offers faster recovery and reduced time off work. However, this method shows a higher recurrence rate compared to open procedures, especially in infected cases.
Area of Science:
- Surgical Procedures
- Wound Healing
- Pilonidal Sinus Management
Context:
- Pilonidal sinus treatment involves open procedures or primary closure.
- This study evaluated 45 patients undergoing pilonidal sinus surgery between September 2001 and December 2002.
- Patient conditions varied from simple fistula to abscess.
Purpose:
- To compare the outcomes of primary closure versus open procedures for pilonidal sinus treatment.
- To assess wound infection rates, healing times, and recurrence rates for both surgical approaches.
- To determine the impact of primary closure on patient recovery and return to work.
Summary:
- Primary closure was performed in 34 patients (76%), while 11 underwent open procedures with secondary healing.
- Wound infection occurred in 13 patients. Mean postoperative treatment was 15 days for primary closure and 66 days for open procedures.
- Recurrence rates were 18% after primary closure and 0% after open procedures.
Impact:
- Primary wound closure significantly reduces illness duration and time out of work.
- Despite higher recurrence rates, primary closure is a viable option for pilonidal sinus, even with infection.
- This approach offers substantial benefits in patient recovery and economic impact.