Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Surgical Procedures, Operative”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 631 records · Page 35Linked to original sources
PubMedDate not supplied

Morbidity and short term results in a randomised trial of open compared with closed treatment of chronic pilonidal sinus.

OBJECTIVE: To evaluate the morbidity and short term results after open compared with closed treatment of chronic pilonidal sinus. DESIGN: Randomised control trial. SUBJECTS: 120 of 164 patients with chronic pilonidal sinus treated between April 1987 and April 1989. INTERVENTIONS: 60 patients were treated by excision and primary suture, and 60 by excision and open packing. MAIN OUTCOME MEASURES: Incidence of early complications (bleeding that needed treatment, wound breakdown, infection, haematoma, or wound pain), number of postoperative visits required, and length of sick leave taken. RESULTS: Those patients who underwent excision and suture had slightly but not significantly fewer early complications (16/60, 27%, compared with 23/60, 38%). Most of the early complications were the result of infection (8, 13% compared with 18, 30%, respectively). They also required fewer followup visits and less sick leave, and their wounds healed more quickly. At one year the numbers of late complications were 19 (32%) and 14 (23%), respectively. CONCLUSION: Excision and primary closure of chronic pilonidal sinus causes less morbidity and is more cost effective than excision and open packing. We plan a three year follow-up to see if these results are maintained.

Adolescent↗