EXCISION OF PILONIDAL SINUS WITH PRIMARY CLOSURE. A TEN-YEAR STUDY.
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The various types of surgical techniques adopted in a group of 167 patients suffering from pilonidal cysts and fistulas are examined: closed, semi-closed and open method. The results are assessed and the reasons for preferring the closed method are examined.
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Our experiences with transposed rhomboid flaps in the treatment of pilonidal disease are described. Results show that primary healing occurred in all twenty patients in our series, with a maximum inpatient hospital stay of four days. A single recurrent sinus has occurred during a follow-up time of eighteen months.
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We present the use of a W-plasty for closure after conservative excision of pilonidal cysts and sinuses. In the past 3 years we have done 12 cases this way, and to date there has been only one recurrence.
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