Irish journal of medical science · 2009
Incise and lay open: an effective procedure for coccygeal pilonidal sinus disease.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Gidwani A L, Murugan K, Nasir A, Brown R
Аннотация
AIM: This study aims to analyze the outcome of various procedures performed for coccygeal pilonidal disease.
METHODS: Between January 1999 and February 2004, patients with coccygeal pilonidal disease were included. Data were analyzed for the nature of operation (elective/emergency), grade of surgeon, type of procedure and further definitive surgery.
RESULTS: Two hundred and four patients underwent surgery for coccygeal pilonidal disease. One hundred and thirty-six patients had emergency surgery (abscess drainage: 61; abscess drainage + lay open: 75) and further definitive procedure was performed in 20 (33.3%) and 8 (11.1%) patients, respectively (P = 0.013, Fishers' exact test). Sixty-eight patients had elective surgery (incision and lay open: 34; excision and lay open: 24; excision and closure/Bascom's/other: 10) and further procedure for recurrence was noted among 3 (8.8%), 5 (20.8%) and 4 (40%) patients, respectively (P = 0.17, chi(2) test).
CONCLUSION: In patients with coccygeal pilonidal sinus disease, a single-stage incision and lay open of the sinus tract is the most efficient operation, especially during emergency surgery.
METHODS: Between January 1999 and February 2004, patients with coccygeal pilonidal disease were included. Data were analyzed for the nature of operation (elective/emergency), grade of surgeon, type of procedure and further definitive surgery.
RESULTS: Two hundred and four patients underwent surgery for coccygeal pilonidal disease. One hundred and thirty-six patients had emergency surgery (abscess drainage: 61; abscess drainage + lay open: 75) and further definitive procedure was performed in 20 (33.3%) and 8 (11.1%) patients, respectively (P = 0.013, Fishers' exact test). Sixty-eight patients had elective surgery (incision and lay open: 34; excision and lay open: 24; excision and closure/Bascom's/other: 10) and further procedure for recurrence was noted among 3 (8.8%), 5 (20.8%) and 4 (40%) patients, respectively (P = 0.17, chi(2) test).
CONCLUSION: In patients with coccygeal pilonidal sinus disease, a single-stage incision and lay open of the sinus tract is the most efficient operation, especially during emergency surgery.