Prolonged delay in healing after surgical treatment of pilonidal sinus is avoidable

@article{Patel1999ProlongedDI,
  title={Prolonged delay in healing after surgical treatment of pilonidal sinus is avoidable},
  author={Patel and Lee and Bloom and Allen-Mersh},
  journal={Colorectal Disease},
  year={1999},
  volume={1}
}
A chronically infected sacral wound requiring repeated shaving, cleansing and dressing after treatment of pilonidal sinus disrupts both work and social activity. 
Prospective follow‐up after ambulatory plain midline excision of pilonidal sinus and primary suture under local anaesthesia – efficient, sufficient, and persistent
TLDR
The purpose of this study was to establish the feasibility of and results after ambulatory simple midline excision and primary wound closure under local anaesthesia.
Cleft closure for the treatment of pilonidal sinus disease
TLDR
The results of a single‐centre experience of the cleft closure procedure can be done simply and successfully with better cosmetic results.
Simple day‐case surgery for pilonidal sinus disease
TLDR
This review focused on the aetiology and management of pilonidal disease and there are more simple alternatives than wide excisional surgery.
Managing Recurrent Pilonidal Disease
This chapter outlines the specialist approach toward pilonidal sinus recurrence. The improved outcome obtained with off-midline flap closure has given way to more minimalist procedures. There have
Wounds After Excision of Pilonidal Sinus Disease
TLDR
It seems that there are a lot of postoperative regimes to treat open wounds after pilonidal sinus surgery; the level of evidence is quite low because randomized trials are lacking.
Pilonidal Sinus Disease
A clear understanding of the changes in the theories on the aetiology of pilonidal sinus disease is essential to understand how these have influenced the evolution of its treatment and to select
Surgical treatment of chronic sacrococcygeal pilonidal sinus. Open method versus primary closure.
TLDR
Excision and primary closure for chronic sacrococcygeal pilonidal sinus is superior to excision and healing by secondary intention, and it is believed that primary midline suturing is a useful method for management of chronic sac Crohn's disease.
Dufourmentel Flap for the Treatment of Pilonidal Sinus Disease
TLDR
Dufourmentel flap is a useful technique in the treatment of advanced, difficult cases of pilonidal sinus disease, it has relatively low morbidity, allows early return to full activity and does not necessitate prolonged postoperative care.
The treatment of non complicated sacrococcygeal pilonidal sinus by minimal excision and primary closure technique
TLDR
Minimal excision and primary closure technique for the treatment of pilonidal sinus disease is associated with short hospital stay, shorter off work time, less cost, low complications rate and low chance of recurrence.
Day-care surgery for pilonidal sinus.
TLDR
Excision and primary asymmetric closure for pilonidal sinus is safe and feasible as day-care surgery and is associated with potential cost saving.
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References

SHOWING 1-10 OF 14 REFERENCES
Pilonidal sinus excision — healing by open granulation
TLDR
It is considered that the problems of delayed healing are due to excisions which leave a wound of a shape ill‐designed to maintain good drainage, and unhealthy wounds should be re‐shaped if possible and treated early with a combination of metronidazole and erythromycin.
Pilonidal sinus: Finding the right track for treatment
TLDR
En bloc excision of pilonidal sinus with secondary healing should be abandoned and emphasis given to development of treatments, such as primary asymmetric closure, which have more potential.
Morbidity and short term results in a randomised trial of open compared with closed treatment of chronic pilonidal sinus.
TLDR
Excision and primary closure of chronic pilonidal sinus causes less morbidity and is more cost effective than excision and open packing.
Pilonidal sinus: Experience with the Karydakis flap
  • P. Kitchen
  • Medicine
    The British journal of surgery
  • 1996
TLDR
The Karydakis operation has a low recurrence rate because it produces a shallow midline furrow free from scar or suture holes which is less vulnerable to hair penetration than a midline wound.
Chronic pilonidal disease: A randomized trial with a complete 3‐year follow‐up
TLDR
Three treatments for chronic pilonidal disease were compared in a randomized trial and 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 afterE + S + C.
Primary closure or secondary granulation after excision of pilonidal sinus?
TLDR
Although the cure rate was the same regardless of which operation was done, the primary healing was quicker and the healing time and duration of sick-leave were shorter after primary closure, and excision with primary closure seems to be the preferable method.
Pilonidal sinus: management objectives.
TLDR
Management objectives should be directed not only at eradicating the obvious lesion present but also to preventing recurrence of aetiological factors; especially the re-accumulation or re-growth of hair.
Karydakis operation for sacrococcygeal pilonidal sinus disease: experience in a district general hospital.
TLDR
The Karydakis operation is an asymmetrical excision of sacrococcygeal pilonidal sinus that is easy to teach and learn and is worth considering by both specialist and non-specialist surgeons.
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