Excision with primary closure and suction drainage for pilonidal sinus in adolescent patients

F. Serour*, E. Somekh, B. Krutman, A. Gorenstein

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Controversy persists regarding the treatment of pilonidal sinus (PS). To evaluate the efficacy of excision with primary closure and closed-suction drainage in adolescent patients, between 1990 and 1999, 34 consecutive patients aged 13-18 years (mean 16.4) underwent PS excision with primary closure and suction drainage. Anesthesia was general in 16 (47%) and spinal in 18 (53%) with a statistical age difference (P< 0.001) (15.5 vs 17.2 years, respectively). No complications due to the anesthetic were observed. Twenty-one patients (61.8%) had day-case surgery while the others were hospitalized for 2 to 4 days (average 2.3 days). The drain was removed on postoperative day 2 to 6 (average 2.2). Primary healing with no postoperative complications occurred in 30 patients (88.2%); 1 underwent partial opening of the wound because of rupture of the drainage tube during its removal. Postoperative infections requiring incision, drainage, and lay-open occurred in 3 cases (9.1%). No recurrence was found at 12-month follow-up. One recurrence (2.9%) was noted 3 years after surgery. Excision with primary closure and closedsuction drainage as an ambulatory procedure is thus a simple and effective method of treatment of uncomplicated PS in adolescents.

Original languageEnglish
Pages (from-to)159-161
Number of pages3
JournalPediatric Surgery International
Volume18
Issue number2-3
DOIs
StatePublished - Mar 2002

Keywords

  • Adolescent
  • Drainage
  • Pilonidal sinus
  • Primary closure

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