A modification of primary closure for the treatment of pilonidal disease in day-care setting
| Autor: | F Cadeddu, Attilio Maria Farinon, Marco Gallinella Muzi, Giovanni Milito, C Nigro |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Young Adult Patient Satisfaction Humans Pilonidal Sinus Ambulatory Surgical Procedures Follow-Up Studies Suture Techniques Female Intergluteal cleft Day care Patient satisfaction medicine Closure (psychology) Pilonidal disease business.industry Gastroenterology Follow up studies Ambulatory Surgical Procedure Surgery Clinical trial Settore MED/18 - Chirurgia Generale business |
| Zdroj: | Colorectal Disease. 11:84-88 |
| ISSN: | 1463-1318 1462-8910 |
| DOI: | 10.1111/j.1463-1318.2008.01534.x |
| Popis: | The best surgical technique for treating sacrococcygeal pilonidal disease (PD) is still controversial. We evaluated the outcome of a modified primary closure for the treatment of pilonidal sinus.One hundred and fifty-two consecutive patients with PD, who underwent excision and primary closure under local anaesthesia according to our method, participated in this prospective study. The duration of operation and of hospitalization, postoperative pain, time to first mobilization, postoperative complications, time to resumption of work were assessed.The median operative time was 30 min (range: 15-40); the median postoperative pain visual analogue scale score was 1 (range 0-3). All patients were mobilized between 2 and 4 h after surgery and discharged within 10 h. Postoperative complications included eight small debridements of an infected wound (5.3%) and one case of wound dehiscence (0.6%). No recurrence was detected during a median follow-up of 22 months (range: 10-34 months).The low complication rate, near total absence of wound dehiscence, the compliance of the patients, the type of anaesthesia and the patient satisfaction makes this method effective. A randomized trial with long-term follow-up is warranted. |
| Databáze: | OpenAIRE |
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