Excision and primary closure of pilonidal sinus using a drain for antiseptic wound flushing

American Journal of Surgery
Raffaele Tritapepe, Carlo Di Padova

Abstract

In the case of pilonidus sinus treated with primary intention surgery the uneventful healing is still difficult to obtain, as indirectly proven by the number of different procedures that have been suggested, such as cyst excision with or without primary closure, excision followed by marsupialisation, and excision followed by skin flap transposition. The procedure described here involves excision and primary closure, with a drain being used to flush the operative cavity with an antiseptic solution. Two hundred and forty-three patients (173 men and 70 women) were treated by excising the pilonidal sinus and placing a 12F suction drain at the base of the wound, with its tip being brought out in the left gluteal region at least 5 cm laterally to the lower end of the suture. Suction was stopped on the first postoperative day and the drain was cut just above the skin. On day 2, a 5F catheter was inserted through the drain and the cavity was flushed with an antiseptic solution followed by sterile saline solution; the same treatment was repeated on days 4 and 6. The drain was removed on day 8 or 9, some of the stitches on day 8 or 9 and the rest on day 9 or 10. The surgery was performed on a day hospital basis in 207 cases; the remainin...Continue Reading

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Citations

Feb 6, 2013·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M N MavrosM E Falagas
Jun 28, 2005·Diseases of the Colon and Rectum·Ahmet GurerRaci Aydin
Dec 21, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·I AldeanN Y Haboubi
Sep 18, 2015·Techniques in Coloproctology·D SegreUNKNOWN Italian Society of Colorectal Surgery
Aug 10, 2013·Diseases of the Colon and Rectum·Scott R SteeleUNKNOWN Standards Practice Task Force of the American Society of Colon and Rectal Surgeons
Jan 15, 2019·Diseases of the Colon and Rectum·Eric K JohnsonUNKNOWN Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons
Oct 24, 2019·Scientific Reports·Dietrich DollMarkus M Luedi
Nov 4, 2008·Journal of Wound Care·A StewartS Mitten-Lewis

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