Publication

[New concept in the treatment of the pilonidal sinus]

Journal Paper/Review - Aug 2, 2007

Units
PubMed

Citation
Kapp T, Zadnikar M, Hahnloser D, Soll C, Hetzer F. [New concept in the treatment of the pilonidal sinus]. Praxis 2007; 96:1171-6.
Type
Journal Paper/Review (English)
Journal
Praxis 2007; 96
Publication Date
Aug 2, 2007
Issn Print
1661-8157
Pages
1171-6
Brief description/objective

Symptomatic pilonidal sinus is characterized by an acute or a chronic inflammation. The surgical management of symptomatic pilonidal sinus is still a matter of discussion and no clear recommendations exists. On the basis of results from published studies and our own experience we developed a new two step therapy concept: Infected pilonidal were first drained by a small excision of the abscess (if possible in local anesthesia) followed by a close fistula excision. With this approach we were able to achieve a low morbidity and a high healing rate. In the case of extensive fistulating pilonidal sinus or recurrent disease we recommend radical excision and primary reconstructive flap what showed good aesthetic results.