Publikation

[New concept in the treatment of the pilonidal sinus]

Wissenschaftlicher Artikel/Review - 02.08.2007

Bereiche
PubMed

Zitation
Kapp T, Zadnikar M, Hahnloser D, Soll C, Hetzer F. [New concept in the treatment of the pilonidal sinus]. Praxis 2007; 96:1171-6.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
Praxis 2007; 96
Veröffentlichungsdatum
02.08.2007
ISSN (Druck)
1661-8157
Seiten
1171-6
Kurzbeschreibung/Zielsetzung

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.