Salgado-Nesme N, Omar Vergara-Fernández O

Language: Spanish
References: 18
Page: 86-89
PDF size: 236.28 Kb.

ABSTRACT

Pilonidal sinus arises in the hair follicles above the buttock cleft and has an estimated incidence of 26 per 100,000 people. These chronic wounds are manifested by pain and generally affect the patients’ quality of life. Surgical procedures are generally based on excision of the sinus tracts followed by primary or secondary closure of the wound. There are few meta-analysis and systematic reviews of the surgical management of this disease, but they have shown that healing time is faster with excision and primary closure, surgical site infection do not differ between primary or open wound healing, and recurrence rates are lower with open healing. Studies comparing the sites of closure have shown a higher surgical site infection and recurrence rates after midline closure and faster healing time after off-midline closure.

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