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Prolonged delay in healing after surgical treatment of pilonidal sinus is avoidable
1Department of Gastrointestinal Surgery, Imperial College School of Medicine, Chelsea and Westminster Hospital, London, UK.
Unlabelled:
A chronically infected sacral wound requiring repeated shaving, cleansing and dressing after treatment of pilonidal sinus disrupts both work and social activity.
Objective:
To compare delay in pilonidal sinus wound healing after laying open with that after primary closure.
Patients And Method:
Healing time and recurrence were recorded in a consecutive series of 102 patients in one hospital undergoing either asymmetric primary closure (Karydakis procedure) by a single surgeon or laying open by other surgeons.
Results:
The interval from operation to cessation of wound dressing was significantly shorter (log rank test, P < 0.0003) after primary closure (median 3 weeks, iqr 3-6) compared with laying open (median 6 weeks, iqr 4-8). No primary closure (0%) and 10 laid open (19%) wounds remained unhealed at 10 weeks from operation (2 × 2 contingency table, P = 0.003). No significant difference was demonstrated (Mann-Whitney U-test) between healing time in elective (median 3 weeks, iqr 3-6) compared with emergency (median 3 weeks, iqr 3-3) admissions treated by primary closure.
Conclusions:
Prolonged delay in healing after surgical treatment of pilonidal sinus is avoidable.
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