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Surgical treatment of chronic sacrococcygeal pilonidal sinus. Open method versus primary closure
Saudi Medical Journal. 2006; 27 (10): 1534-1537
en Inglés | IMEMR | ID: emr-80610
ABSTRACT
To study the comparison between the primary closure and open technique after excision of chronic sacrococcygeal pilonidal sinus. A randomized study was designed and 77 patients with chronic sacrococcygeal pilonidal sinus were included in this study. This study took place in Rizgary Teaching Hospital, Erbil, Kurdistan, Iraq, from January 1997 to August 2003. The patients were separated into 2 groups; Group A [37 patients] were treated by open method [excision and healing by secondary intention] and Group B [40 patients] for whom primary midline suturing was performed after excision of the pilonidal sinus. The follow up ranged from 1.5-5.5 years [mean 4.16] was through outpatient visits. The Student t test was applied for statistical analysis for the operating time, hospital-stay, time off from work and wound healing time; and the results show extremely significant differences between the 2 groups [p<0.0001]. The statistical analysis of the total number of postoperative complications of both techniques showed a significant difference [p=0.0401], while the differences were insignificant for each complication when analyzed separately. Excision and primary closure for chronic sacrococcygeal pilonidal sinus is superior to excision and healing by secondary intention. We believe that primary midline suturing is a useful method for management of chronic sacrococcygeal pilonidal sinus
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Índice: IMEMR (Mediterraneo Oriental) Asunto principal: Región Sacrococcígea / Cicatrización de Heridas / Enfermedad Crónica / Estudios de Seguimiento / Técnicas de Sutura / Resultado del Tratamiento / Tiempo de Internación Límite: Femenino / Humanos / Masculino Idioma: Inglés Revista: Saudi Med. J. Año: 2006

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Índice: IMEMR (Mediterraneo Oriental) Asunto principal: Región Sacrococcígea / Cicatrización de Heridas / Enfermedad Crónica / Estudios de Seguimiento / Técnicas de Sutura / Resultado del Tratamiento / Tiempo de Internación Límite: Femenino / Humanos / Masculino Idioma: Inglés Revista: Saudi Med. J. Año: 2006