Chronic pilonidal disease: A randomized trial with a complete 3-year follow-up

Author:

Kronborg O1,Christensen K1,Zimmermann-Nielsen C2

Affiliation:

1. Department of Surgical Gastroenterology, Odense University Hospital, Denmark

2. Department of Surgery, Svendborg Hospital, Denmark

Abstract

Abstract Three treatments for chronic pilonidal disease were compared in a randomized trial. Healing without formation of new sinuses occurred equally frequent after excision (E), excision with suture (E + S) and excision with suture under cover with clindamycin (E + S + C). The times of healing were significantly shorter after E + S (median 14 days, n = 29) than after E (64 days, n = 29) and tended to be even shorter after E + S + C (11 days, n = 30). Recurrence rates within 3 years amounted to 13 per cent after E, 25 per cent after E + S and 19 per cent after E + S + C, but the total time of healing after initial surgery as well as excision of recurrences was significantly shorter after E + S than after E and tended to be even shorter after E + S + C.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference10 articles.

1. Radical surgery for pilonidal sinus;Rainsbury;Ann R Coll Surg Engl,1982

2. Simple primary closure for pilonidal disease;Holm;Acta Chir Scand,1970

3. Pilonidal sinus: excision and closure;Foss;Proc R Soc Med,1970

4. Pilonidal sinus: a 5-year appraisal of the Millar-Lord treatment;Edwards;Br J Surg,1977

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