Excision and Partial Primary Closure of Wound for Pilonidal Disease

Lasheen, Ahmed; Safwat, Khalid; Morsy, Mansour; Fiad, Alaa; Elmoregy, Abdelwahab
July 2012
Surgical Science;Jul2012, Vol. 3 Issue 7, p366
Academic Journal
Background: Pilonidal disease is a common chronic disorder of the sacrococcygeal region; and its surgical management is still a matter of discussion. The ideal therapy would be a quick cure that allowed patients to return rapidly to normal activity, that is minimally invasive with no morbidity, a low risk of complication and easy to learn. Methods: Sixty seven patients with pilonidal disease were subjected to excision and partial closure procedure, from November 2006 to March 2010 at General Surgery Department, Zagazig University Hospital, Zagazig University, Egypt. The mean age was 27.5 years. Complete but close excision of all diseased tissues was achieved. Then, the wound partially was closed from the deepest parts only by multiples buried vertical mattress sutures by using Lasheen's needle, and left the superficial wound parts to heal by second intention. The follow up period was ranged from 14 - 39 months (mean 27 months). Results: The mean hospital stay was 12 hours, mean operation time was 30 minutes and mean time to return to normal activity was 8 days (range 7 - 12 days). Nine cases show superficial wound infection and one case of recurrence. Conclusion: Excision and partially closure technique by using Lasheen's needle for pilonidal diseases is minimal invasive and less morbidity, easy to learn and has favorable results regarding to return to normal activity, rate of recurrence and cosmetically acceptable.


Related Articles

  • Intradermal absorbable sutures to close pilonidal sinus wounds: a safe closure method? Milone, Marco; Musella, Mario; Maietta, Paola; Bianco, Paolo; Taffuri, Caterina; Salvatore, Giuseppe; Milone, Francesco // Surgery Today;Sep2014, Vol. 44 Issue 9, p1638 

    Purpose: The aim of this study was to demonstrate the safety of using intradermal absorbable sutures for pilonidal sinus skin closure. Methods: The study was prospectively carried out in 203 patients randomized into two groups of patients. In the first group (103 patients), interrupted sutures...

  • Skin Glue Improves Outcome after Excision and Primary Closure of Sacrococcygeal Pilonidal Disease. Othman, Ibrahim // Internet Journal of Surgery;2009, Vol. 20 Issue 1, p30 

    AIM: evaluating the effect of Histoacryl on the outcome and recurrence rate after excision and primary closure of sacrococcygeal pilonidal disease. PATIENTS AND METHODS: Forty patients with sacrococcygeal pilonidal sinus were randomly divided into 2 equal groups through computer randomization...

  • Ambulatory treatment of chronic pilonidal sinuses with lateral incision and primary suture. Maghsoudi, Hemmat; Nezami, Nariman; Ghamari, Ali Akbar // Canadian Journal of Surgery;Apr2011, Vol. 54 Issue 2, p78 

    Background: Outpatient management is appropriate for chronic pilonidal sinuses. Even though there are different surgical treatments for pilonidal sinuses, the outcome may not be uniformly satisfactory. The aim of this paper was to examine the ambulatory treatment of chronic pilonidal sinuses...

  • The Use of Dog-ears as Grafts. Chester Jr., Earl C. // Journal of Dermatologic Surgery & Oncology;Dec81, Vol. 7 Issue 12, p956 

    The article describes a procedure for closing the defect after performing an elliptical or oval excision without placing excessive tension on sutures or without distorting surrounding structures. The procedure is accomplished by undermining widely and placing two sutures at points that close the...

  • Closure of Wedge Excisions of the Lip. Haneke, E. // Journal of Dermatologic Surgery & Oncology;Oct82, Vol. 8 Issue 10, p890 

    By a simple modification of the mucosal suture described in many textbooks the disadvantages of the technique can be avoided. After excision of a W-shaped wedge of the lip, the tunica propria is sutured with catgut from the inside without penetrating the mucous epithelium.

  • The Application of the Tie-Down Suture to the Excision of Cutaneous Tumors. Ocampo, Jorge; Camps, Alejandro // Journal of Dermatologic Surgery & Oncology;Dec88, Vol. 14 Issue 12, p1357 

    We describe a surgical procedure that acts as a compressive dressing and contributes to eliminate dead spaces. Because of its similarity to a tie-down dressing, this technique is called the "tie-down suture." It is especially indicated after excision of mass lesions-epidermoid and dermoid cysts,...

  • Oblique Excision and Primary Closure of Pilonidal Sinus (Sacrococcygeal). Ibrahim, Al-Metwaly Ragab Ragab // Trends in Medical Research;2012, Vol. 7 Issue 2, p62 

    Pilonidal sinus is a chronic disease of young age located at the sacrococcygeal region and is found mostly in males. The pathogenesis is generally accepted as the invagination of hair into the skin, followed by foreign body reaction leading to inflammation and abscess formation. The best...

  • Clinical and Anatomical Aspects of Surgical Treatment of Sacrococcygeal Pilonidal Sinus Disease. ZHDANOV, A. I.; KRIVONOSOV, S. V.; BREZHNEV, S. G. // Bulletin of Experimental & Clinical Surgery;2013, Vol. 6 Issue 3, p386 

    Despite the fact that this disease is the subject of numerous medical journals, monographs, research works, master's and doctoral theses, to date there is no unified approach to the choice of surgical treatment for this disease. High frequency of unsatisfactory results after excision of...

  • Prevalence of sacrococcygeal pilonidal sinus as a silent disease. Aysan, Erhan; Ilhan, Mehmet; Bektas, Hasan; Kaya, Evrim; Sam, Bulent; Buyukpinarbasili, Nur; Muslumanoglu, Mahmut // Surgery Today;Nov2013, Vol. 43 Issue 11, p1286 

    Purpose: The aim of this research was to determine the prevalence of sacrococcygeal pilonidal sinus disease (SPSD) based on clinical examination and histopathological evaluation. Methods: Between January 1, 2010 and December 30, 2010, 432 corpses were evaluated in the Istanbul Central Office of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics