How long does it take to recover after a pilonidal cyst is drained?

Taken word for word from the abstract

• population Mean age was 18.1 years; 50% were male.
• intervention patients received 1% buffered lidocaine via pneumatic injection. Laser follicle ablation was followed by punch excision (1.5 or 2 mm) of full-thickness pit epithelium.
• comparator Patients requiring nidus incision and drainage (I&D) were excluded.
• primaryOutcome 60% patients healed all pits, resolving their condition, with 64% (144/224) of all pits healed
• result Ultimately, 88% of patients healed all of their pits.
• n 100 were included in the analysis (5 excluded for concurrent I&D, 25 lost to follow-up).

Taken word for word from the abstract

• n an otherwise healthy 28-year-old man
• population an otherwise healthy 28-year-old man who presented with a recurrent pilonidal cyst with a chronic sinus tract despite previous repeat incision and drainage procedures
• intervention underwent pilonidal cyst excision with vacuum-assisted wound closure (wound-VAC) placement to facilitate the healing process
• comparator We report a case of an otherwise healthy 28-year-old man
• primaryOutcome The wound size and the wound depth decreased, requiring no further need for wound-VAC dressing.
• result Over the next three weeks, the wound healed via secondary intention with a simple dry-to-dry gauze dressing with minimal intermittent pain and without any complications.

Taken word for word from the abstract

• n The experimental cohort included 60 patients.
• population Patients with PSD who underwent standard pilonidal sinus excision-lay open technique/surgery
• intervention vacuum-assisted closure group (n=30, postoperative vacuum-assisted closure application)
• comparator control group (n=30, standard open wound care)
• primaryOutcome wound healing times were compared between study groups
• result The total recovery time (time to complete wound healing) was significantly shorter in the vacuum-assisted closure group compared with the control group (21.47±4.38 days versus 67.60±7.83 days, p=0.001).

Taken word for word from the abstract

• population consecutive new patients presenting to an outpatient pilonidal care clinic with mild disease
• intervention improved hygiene to limit debris in the gluteal crease, excision of midline pilonidal pits under local anesthesia to prevent intrusion of debris with drainage of any nidus present, and laser ablation of midline follicles to prevent new pits from forming
• comparator an alternate approach directed toward source control
• primaryOutcome resolution of their pilonidal disease
• result 77 of the 78 who continued care had resolution of their pilonidal disease after a mean of 3 ± 2.5 laser epilations and 1.3 ± 1 pit excisions during 4 ± 2 clinic visits over a treatment duration of 30 ± 19 weeks
• n One hundred two patients presented

Taken word for word from the abstract

• population patients with PSD
• intervention complete surgical excision followed by the application of NPWT
• comparator A retrospective observational cohort study of all patients with PSD managed by complete surgical excision followed by application of NPWT was performed
• primaryOutcome The primary endpoints were PSD recurrence and failed wound healing.
• result All patients' wounds healed successfully, with the median time to healing being 28 days. One patient (1.6%) developed recurrent PSD and required further surgery.
• n Sixty-one patients underwent treatment during the study period.

Taken word for word from the abstract

• n The case series included six patients.
• population recurrent PSD, where previously surgical intervention had failed due to wound dehiscence and/or recurrent disease
• intervention surgical flap reconstruction with concomitant implantation of an ovine forestomach ECM graft under a fasciocutaneous flap with an off-midline closure
• comparator We report a retrospective case series using a surgical flap reconstruction with concomitant implantation of an ovine forestomach ECM graft
• primaryOutcome After three weeks, all patients except one were fully healed, and the sixth was fully healed by week 4; all wounds remained fully healed at 12 weeks.
• result After three weeks, all patients except one were fully healed, and the sixth was fully healed by week 4; all wounds remained fully healed at 12 weeks.

Taken word for word from the abstract

• n a total of 100 patients were treated with aspiration and antibiotics
• population All patients presenting with an acute pilonidal abscess
• intervention treated with bedside aspiration under local anesthetic, followed by oral cefalexin and metronidazole for 7 days
• comparator The traditional open incision and drainage of a pilonidal abscess is associated with slow healing and delayed return to normal daily activities.
• primaryOutcome Long-term outcomes and overall patients' satisfaction were assessed with the use of mailed questionnaires and Visual Analogue Scales
• result Aspiration of a pilonidal abscess in selected patients is effective in 83%, and it is associated with high overall satisfaction rates.
• followUp after a median (IQR) follow-up time of 29 (47) months

Taken word for word from the abstract

• n The study included 154 patients.
• population Sacroccygeal pilonidal sinus disease is a worldwide health problem, affecting young adults, mainly males
• intervention the patients in group 2 were operated on by the Karydakis procedure with tie-over compressing sutures without a drain
• comparator The patients in group 1 were operated on by the standard Karydakis procedure
• primaryOutcome The primary outcomes measured were the incidence of seroma formation, wound complications, length of hospital stay, off-work time, and recurrence rate.
• result All patients were discharged on the same day of surgery in group 2 compared with a mean hospital stay of 4.9 ± 2.4 days in group 1. No patients developed seroma in group 2 compared with 7.8% in group 1. In group 2, 1.3% of patients developed wound infection compared with 9.1% in group 1. The average time for return to work in group 2 was 10.2 ± 1.4 days compared with 12.6 ± 4 days in group 1. No recurrences were noted in group 2 compared with 2.6% in group 1.

Taken word for word from the abstract

• n Nineteen patients were included
• population median age of the cohort was 24 years
• intervention endoscopic pilonidal abscess treatment (EPAT)
• primaryOutcome complete wound healing was achieved within 6 weeks
• result In all patients, complete wound healing was achieved within 6 weeks; all reported minimal postoperative pain (median postoperative visual analogue scale score 1) and immediate return to the activities of daily life.
• comparator Conventional treatment with incision and drainage is associated with significant postoperative morbidity.

Taken word for word from the abstract

• n 5 patients with primary symptomatic pilonidal sinus underwent an operation as a pilot study
• population 5 patients with primary symptomatic pilonidal sinus
• intervention a narrow excision of pilonidal orifices with the subcutaneous destruction of the sinus tract and the removal of hair as well as the long-term vessel loop drainage of the wound channel with repeated revisions of the wound channel for removing hair remnants
• comparator 5 patients with primary symptomatic pilonidal sinus underwent an operation as a pilot study
• primaryOutcome The complete wound healing with the formation of a qualitative scar took place on the 21st postoperative day
• result The complete wound healing with the formation of a qualitative scar took place on the 21st postoperative day (for 3 patients) and on the 28th postoperative day (for 2 patients).

Taken word for word from the abstract

• n in 72 cases, surgery was indicated because of chronic state or recurrence of the disease
• population 169 patients with symptoms of pilonidal disease were treated
• intervention the defect after excision was closed by rhomboid fasciocutaneous flap
• comparator radical excision of sinus with primary suture of the defect was performed in 42 cases
• primaryOutcome the second method showed significantly less surgical site infections, shorter time of drainage and hospitalization and overall healing
• result the second method showed significantly less surgical site infections, shorter time of drainage and hospitalization and overall healing

Taken word for word from the abstract

• n the control group (9 men)
• n In the VAC group (10 men)
• population After randomization in the control group (9 men) the simple excision of the pilonidal cyst was performed
• intervention after the excision the VAC dressing with mobile VAC Freedom device was used
• comparator the simple excision of the pilonidal cyst was performed with the standard wound dressing
• primaryOutcome The wound size, time of surgery, time of wound healing time of recovery and pain after the surgery (VAS score) were compared
• result Time of wound healing, recovery and the pain after surgery in days 4-7 were reduced in comparison to the standard treated group.

Taken word for word from the abstract

• n A total of 15 adolescents (8 boys and 7 girls) were included in the study group.
• population Pilonidal disease is a common and frustrating problem among adolescents
• intervention symmetrically rotated (clockwise) rhomboid excision and lateralization of the Limberg flap
• comparator descriptive prospective study to evaluate its efficiency
• primaryOutcome we did not encounter any wound infection or recurrent disease during this period
• result The median duration of hospitalization was 5 days, and the median duration of suction drainage was 4 days.
• followUp The median postoperative follow-up period was 4 months (ranging from 1 to 12 months)

Taken word for word from the abstract

• population Pilonidal sinus arises in the natal cleft of the sacrococcigeal region either as a cyst or as an abscess collection containing hair.
• intervention During the period may 2011-May 2012 we performed 17 less extensive excisions.
• comparator Midline excision was performed in 75 (68.18%) patients and the rest had marsupielisation done.
• primaryOutcome The shortest healing time was 4 weeks and longest 21 weeks.
• result All the patients were discharged from the clinic within 23 hours and returned to their daily activities within 5 days. Healing time varied from 2 weeks to 5 weeks.
• n In the 3 years period, from 2009-2011, 110 treatments of the pilonidal disease were performed on our department.
• n During the period may 2011-May 2012 we performed 17 less extensive excisions.

Taken word for word from the abstract

• n Eight patients with complex SPC were included in this prospective trial.
• population patients undergoing surgery for sacrococcygeal pilonidal cysts (SPC)
• intervention Patients were treated with G-CSF (5 µg/kg b.i.d.) for 3 consecutive days; standard surgical exeresis of the pilonidal cyst was scheduled on day 2 of mobilization.
• comparator a comparison with a control group receiving surgery without G-CSF was performed
• primaryOutcome time to complete resolution
• result the G-CSF group patients had a median time to resolution (117 days, range 110-130) significantly shorter than control patients (145 days, range 118-168) (P = 0.034)

Taken word for word from the abstract

• n Forty patients met the criteria for aspiration and empirical antibiotic treatment.
• population Patients presenting with acute pilonidal abscess, not septic, immune-compromised, or diabetic, and without skin necrosis, underwent aspiration on the surgical ward.
• intervention Aspiration of pilonidal abscess under local anesthetic was performed with the use of a wide-bore needle.
• comparator Traditional approaches to the management of acute pilonidal abscess have been associated with slow healing and significant loss of working time.
• primaryOutcome The primary outcomes measured were the number of days required to return to normal activities, response to treatment, and any residual inflammation.
• result Thirty-eight (38/40) patients demonstrated complete resolution of acute inflammation and were back to normal activities the following day. Fifteen patients subsequently underwent day-case excision and primary closure at a median of 9 weeks.

Taken word for word from the abstract

• n long-term outcome of 257 patients operated between 2001 and 2010
• population Wide excision with secondary wound healing is a frequently performed surgical procedure for pilonidal sinus.
• intervention Sinusectomy consisted of a selective minimal invasive excision of the sinus after marking the track with methylene blue.
• comparator The proportion of sinusectomies performed under local anesthesia increased from 59% to 93%.
• primaryOutcome The main endpoints of the study were recurrence and time off work.
• result the overall recurrence rate was 7%. The median time to return to work was 7 days.
• followUp median follow-up of 3.6 years

Taken word for word from the abstract

• n This case report concerns two patients with chronic pilonidal sinuses
• population two patients with chronic pilonidal sinuses
• intervention underwent wide excision and placement of Integra with postoperative NPWT
• comparator This case report concerns two patients with chronic pilonidal sinuses who underwent wide excision and placement of Integra with postoperative NPWT.
• primaryOutcome the patients were assessed for complications and recurrence
• result Both patients went on to heal and did not require further surgical treatment after a median follow-up of 29 months.

Taken word for word from the abstract

• population patients with pilonidal sinus disease
• intervention Simple removal of midline skin pits, the primary cause of pilonidal disease, with lateral drainage of the abscess and sinus is effective in most instances.
• comparator Although wide excisional surgery has been common practice, there are more simple alternatives.
• primaryOutcome associated with a rapid return to work
• result These more conservative procedures are usually done as a day case, require minimal care in the community and are associated with a rapid return to work.

Taken word for word from the abstract

• population patients with chronic or recurrent pilonidal sinus (PS)
• intervention randomly given either the in house autologous platelet gel (Group 1)
• comparator or the Vivostat- gel (Group 2)
• primaryOutcome Group 2 patients had shorter wound healing time (8 vs. 10 days; p<0.0001), time to return to full activity (11 vs. 16 days: p<0.0001)
• result Group 2 patients had shorter wound healing time (8 vs. 10 days; p<0.0001), time to return to full activity (11 vs. 16 days: p<0.0001), less uncomplicated fluid collections (120 vs. 190 ml: p<0.0001), and fewer postoperative wound complications (1/50=2% vs. 5/50=10%, p<0.001)
• n 100 patients (82 males, 18 females: median age 30 years; range, 16-51 years)

Taken word for word from the abstract

• n was applied on 278 (89 percent) patients
• population patients, who did not have extensive gluteal involvement, of the 312 patients who had pilonidal sinus disease
• intervention An S-type incision together with a bilateral gluteus maximus fascia advancing flap was applied
• comparator No drainage was performed on any patient.
• primaryOutcome Total complication rate was 7.2 percent and recurrence rate was 0.7 percent.
• result The mean time off from work was 12 +/- 2 days (range, 10 to 22).

Taken word for word from the abstract

• n One hundred one patients undergoing the RELIF procedure were randomly treated with drainage or not.
• population patients with pilonidal sinus
• intervention randomly treated with drainage or not
• comparator randomly treated with drainage or not
• primaryOutcome Operating time, postoperative pain assessed on a visual analogue scale (VAS), total amount of intramuscular analgesic administered, hospital stay, complications, recurrence rate, and patient satisfaction were assessed.
• result VAS scores on postoperative day 0 (P = 0.039) and day 1 (P = 0.006), intramuscular analgesic requirement (P = 0.009), mean amount of intramuscular analgesic administered (P = 0.025), complication rate (P = 0.027), and mean hospital stay (P = 0.0001) were significantly reduced in the non-drained group.

Taken word for word from the abstract

• n A prospective study was performed on 103 patients with nonrecurrent quiescent chronic discharging sinus.
• population 103 patients with nonrecurrent quiescent chronic discharging sinus
• intervention the excision was associated with drainage of the wound
• comparator the wound was not drained
• primaryOutcome Complete healing was fastest in patients in group A.
• result Complete healing was fastest in patients in group A.

Taken word for word from the abstract

• n Eight patients (seven males) were treated with this technique
• population All had very extensive and recurrent disease, having had multiple previous procedures.
• intervention Two rhomboid fasciocutaneous flaps are transposed to close this defect over suction-drains.
• comparator It is a relatively simple and safe alternative to major plastic reconstruction which is often resorted to in such large-scale disease.
• primaryOutcome Median drain-duration was 2 days (range 1-5 days) and postoperative stay was 2 days (range 0-5 days).
• result Median drain-duration was 2 days (range 1-5 days) and postoperative stay was 2 days (range 0-5 days). One complication arose: a wound infection with partial dehiscence which healed with conservative treatment. No recurrence or further complication arose in a 33-month follow-up (range 8-41 months).

Taken word for word from the abstract

• n The records of 411 patients with pilonidal sinus disease
• population patients with pilonidal sinus disease
• intervention rhomboid excision and Limberg flap procedure
• comparator The records of 411 patients with pilonidal sinus disease, who underwent rhomboid excision and Limberg flap procedure, were analysed.
• primaryOutcome the average time of return to work was 12.4 days
• result The average hospital stay was 3.2 days (range: 1-10 days), and the average time of return to work was 12.4 days (range: 7-18 days). The average time to walk without pain was 13.4 days (range: 10-28 days) and the average time to sitting on the toilet without pain was 16.1 days (range: 12-28 days).
• followUp The mean follow-up period was 109.2 +/- 4.5 months (range: 12-183 months).

Taken word for word from the abstract

• n The present study included 82 consecutive patients.
• population sacrococcygeal pilonidal sinus disease
• intervention The modified technique was applied in all patients.
• comparator The present study included 82 consecutive patients.
• primaryOutcome The postoperative complications and hospital stay were recorded.
• result The hospital stay was two days for all patients. Postoperative complications were encountered in six patients (7.3 percent).
• result No recurrences were encountered throughout the 20 +/- 6.8 months mean follow-up duration.

Taken word for word from the abstract

• intervention Infected pilonidal were first drained by a small excision of the abscess (if possible in local anesthesia) followed by a close fistula excision.
• comparator In the case of extensive fistulating pilonidal sinus or recurrent disease we recommend radical excision and primary reconstructive flap what showed good aesthetic results.
• result With this approach we were able to achieve a low morbidity and a high healing rate.
• population Symptomatic pilonidal sinus is characterized by an acute or a chronic inflammation.
• primaryOutcome we were able to achieve a low morbidity and a high healing rate

Taken word for word from the abstract

• population 32 male patients with pilonidal disease
• intervention the standard Limberg flap technique (n=16) alone or with fibrin sealant application (n=16) before drain insertion
• comparator the standard Limberg flap technique (n=16) alone
• primaryOutcome The total drainage volume was 64.4+/-28.0 ml in the control group and 16.2+/-13.6 ml in the fibrin sealant group
• result hospitalization time was 3.9+/-0.6 days in the control group and 2.0+/-0 days in the fibrin sealant group (p<0.001)
• n 32 male patients with pilonidal disease were randomly assigned

Taken word for word from the abstract

• n Eighty-one patients were included in the study.
• population Patients who were admitted to Aseer Central Hospital, Saudi Arabia with a pilonidal sinus or abscess
• intervention sinotomy, that is, simply laying the sinus open
• comparator the more popular radical surgery, where the sinus-bearing tissues are excised
• primaryOutcome data related to the patient characteristics, disease process and the procedures carried out were noted
• result Sinotomy had a low recurrence rate (12.5%) and a short hospital stay (2.8 days).

Taken word for word from the abstract

• n Satisfactory resection was achieved by means of a single cutting seton (garrotte) in 8 patients
• population all of whom had had prior unsuccessful incision and drainage for long-standing disease with local abscesses and suppuration
• intervention The seton was applied in an ambulatory care setting under local anesthesia. It was tied and progressively tightened over a period of two weeks.
• comparator more traditional surgical treatment in the past
• primaryOutcome There were no recurrences over an average follow-up period of 22.5 months. All patients were uniformly satisfied.
• result Complete excision of the diseased area was achieved and revascularization of the wounds site occurred with optimum healing by secondary intention, leaving an acceptable scar. It required minimal wound care. There were no recurrences over an average follow-up period of 22.5 months.

Taken word for word from the abstract

• n Eighteen men and five women were treated with laser epilation
• population All patients had experienced recurrent folliculitis and had undergone some form of drainage procedure or prior excision.
• intervention After surgical excision of the affected area, a Vasculite Plus laser was used for the epilation treatments.
• comparator Each session involved 9 to 12 treatments and the patients underwent an average of two sessions.
• primaryOutcome All 19 of the patients that remain in follow-up report no recurrence of their folliculitis or need for further surgical procedures.
• result All 19 of the patients that remain in follow-up report no recurrence of their folliculitis or need for further surgical procedures.

Taken word for word from the abstract

• n Fifty patients with pilonidal sinus who underwent the Karydakis flap operation were evaluated prospectively.
• population Fifty patients with pilonidal sinus who underwent the Karydakis flap operation
• intervention with and without suction drainage of the cavity
• comparator with and without suction drainage of the cavity
• primaryOutcome the effects of drains were studied in terms of wound complications, hospital stay, and recurrence rate
• result There was no significant difference between groups in term of length of hospital stay.
• result There was a significant increase in the number of fluid collections in patents without a suction drain.

Taken word for word from the abstract

• n 43 consecutive patients underwent drainage, curettage and marsupialization for acute pilonidal abscess
• population 43 consecutive patients underwent drainage, curettage and marsupialization for acute pilonidal abscess
• intervention drainage, curettage and marsupialization for acute pilonidal abscess
• comparator Simple drainage is the most common treatment of pilonidal abscess, but later definitive surgery is often necessary.
• primaryOutcome Complete healing required 4-10 weeks in 95.3% of the patients
• result Complete healing required 4-10 weeks in 95.3% of the patients; a persistent chronic fistula was observed in 4.7%. During the follow-up, 6 recurrences (14.6%) were observed in the healed patients.

Taken word for word from the abstract

• population 24 who presented with recurrent pilonidal disease eight months to four years after one to four operations each
• intervention The modified Bascom technique was applied, which involved an asymmetric ellipse-like, gluteal fat-preserving excision of the affected skin, the pilonidal sinus, and lateral tracts, a thick skin and fat tongue of tissue mobilization, and finally, complete lateralization of wound closure and flattening of midgluteal groove.
• comparator The suggested modified Bascom technique is an attractive, safe, easily performed operation with minimal morbidity and can be reliably used as a second-line surgical option for recurrent pilonidal disease.
• primaryOutcome Full return to military duty was possible in three weeks after surgery.
• result All patients tolerated the procedure well, with minimal to moderate postoperative discomfort. Full return to military duty was possible in three weeks after surgery. There was one case of limited primary healing failure. No recurrences have developed in a short median follow-up period of ten months.
• n there were 24 who presented with recurrent pilonidal disease

Taken word for word from the abstract

• n series of 52 patients
• population Pilonidal sinus treatment
• intervention "en bloc" excision of all pathological tissue following closure "per primam" of the wound, after applying an aspirating drainage, which was then removed on day 2 or 3
• comparator all the most commonly used methods cause the patients considerable discomfort ("open" method) or increase the recurrence rate ("closed" method)
• primaryOutcome encouraging results (slight complications in 3 cases and only one recurrence)
• result slight complications in 3 cases and only one recurrence

Taken word for word from the abstract

• n 38 patients (5 female, 33 male, mean age 27,mean BMI 26.7 kg/m(2)) suffering from infected pilonidal sinus
• population Infected sinus pilonidalis is common in young patients, causing much discomfort.
• intervention 38 patients (5 female, 33 male, mean age 27,mean BMI 26.7 kg/m(2)) suffering from infected pilonidal sinus were first treated by incision of the abscess.
• comparator The aim of this study was to evaluate the longterm results for infected pilonidal sinus disease after primary drainage of the abscess, secondary rhomboid excision, and Limberg flap procedure.
• primaryOutcome RESULTS: Two patients (5.2%) developed seroma and two (5.2%) developed infected hematoma. During follow-up, one patient (2.6%) showed recurrence.
• result In 33 (87%), postoperative course and follow-up were uneventful (mean 23 months, range 1-36). The mean length of hospital stay was 3.2 days (range 1-4).

Taken word for word from the abstract

• n 34 consecutive patients aged 13-18 years
• population 34 consecutive patients aged 13-18 years (mean 16.4) underwent PS excision
• intervention excision with primary closure and suction drainage
• comparator between 1990 and 1999, 34 consecutive patients aged 13-18 years (mean 16.4) underwent PS excision with primary closure and suction drainage
• primaryOutcome Primary healing with no postoperative complications occurred in 30 patients (88.2%)
• result The drain was removed on postoperative day 2 to 6 (average 2.2). Primary healing with no postoperative complications occurred in 30 patients (88.2%); 1 underwent partial opening of the wound because of rupture of the drainage tube during its removal. Postoperative infections requiring incision, drainage, and lay-open occurred in 3 cases (9.1%).
• followUp No recurrence was found at 12-month follow-up.

Taken word for word from the abstract

• n Two hundred and forty-three patients (173 men and 70 women) were treated
• population Two hundred and forty-three patients (173 men and 70 women) were treated by excising the pilonidal sinus
• intervention excising the pilonidal sinus and placing a 12F suction drain at the base of the wound, with its tip being brought out in the left gluteal region
• comparator The procedure described here involves excision and primary closure, with a drain being used to flush the operative cavity with an antiseptic solution.
• primaryOutcome Healing was always by first intention, with none of the 243 patients experiencing any complications.
• result Healing was always by first intention, with none of the 243 patients experiencing any complications. The postoperative follow-up now ranges from 5 to 15 years, and there have not been any recurrences.

Taken word for word from the abstract

• n 112 pilonidal sinus cases treated surgically
• population All pilonidal sinus cases except pilonidal abscess and extensive gluteal involvement were treated surgically.
• intervention asymmetric excision and primary closure with suction drain and subcuticular skin closure
• comparator The procedure consists of an eccentric, elliptical excision of the affected tissue, mobilization of the flap to the sacrococcygeal fascia and the suturing of its edge to the lateral one.
• primaryOutcome operation time and cost, hospital stay, return to normal activity, complications, pathologic and microbiologic examinations, and recurrences were noted
• result The mean hospital stay was 2.6 days, and the mean time off work was 12.4 days. The average healing time was 13.2 days.

Taken word for word from the abstract

• n 101 consecutive cases managed during 1 year with the conservative method, whereas slower healing over 4760 occupied-bed days was observed in 229 patients undergoing 240 operative procedures during the preceding 2 years
• population all patients treated for pilonidal sinus disease consecutively over 3 years at an Army community hospital
• intervention Conservative, nonexcisional therapy (meticulous hair control by natal cleft shaving, improved perineal hygiene, and limited lateral incision and drainage for abscess)
• comparator with initial comparison to excisional procedures
• primaryOutcome Occupied-bed days for conservative vs excisional therapy during a 3-year pilot study
• result Complete healing over 83 occupied-bed days was demonstrated in 101 consecutive cases managed during 1 year with the conservative method, whereas slower healing over 4760 occupied-bed days was observed in 229 patients undergoing 240 operative procedures during the preceding 2 years.

Taken word for word from the abstract

• population Primary closure after excision of postanal pilonidal sinus disease
• intervention Sepsis and haematoma formation, the causes of wound breakdown after pilonidal sinus excision, have been prevented by preoperative preparation, prophylactic antibiotic administration, wound irrigation with povidone-iodine and simple skin closure over a Redivac suction drain for at least 4 days.
• primaryOutcome resulted in primary healing in 28 of 31 patients treated in a 5-year period
• result resulted in primary healing in 28 of 31 patients treated in a 5-year period
• n 28 of 31 patients treated in a 5-year period

Taken word for word from the abstract

• n a retrospective study of 157 patients with pilonidal disease
• population 157 patients with pilonidal disease
• intervention Elective excision of the granulation tissue and skin, with partial closure of the defect
• comparator excision and primary suture
• primaryOutcome The period in hospital, the healing time, and the rates of wound breakdown and sinus recurrence were documented
• result Elective excision of the granulation tissue and skin, with partial closure of the defect, gave better results than excision and primary suture.
• result After incision and drainage of the pilonidal abscess, later excision was necessary in less than 40 per cent of patients.

Taken word for word from the abstract

• n employed in 25 patients
• population treatment of pilonidal sinus has been employed in 25 patients
• intervention A simplified technique for treatment of pilonidal sinus
• primaryOutcome Mean duration of hospitalization was 3 days, patients can get out of bed after 24 hours, and work can be resumed after 2 weeks, complete healing requiring one month.
• result Mean duration of hospitalization was 3 days, patients can get out of bed after 24 hours, and work can be resumed after 2 weeks, complete healing requiring one month.

Taken word for word from the abstract

• population Pilonidal sinuses are acquired in the natal cleft as a result of dead hairs being pushed into skin abrasions by the movements of the buttock.
• intervention Z-plasty
• comparator incision and drainage or marsupialization
• primaryOutcome no further surgical treatment was required in the Z-plasty group; in the control group, 40 per cent had repeated surgical treatment
• result no further surgical treatment was required in the Z-plasty group; in the control group, 40 per cent had repeated surgical treatment

Taken word for word from the abstract

• n A series of 126 patients treated by inhospital pilonidal cystotomy is reviewed.
• population A series of 126 patients treated by inhospital pilonidal cystotomy is reviewed.
• intervention inhospital pilonidal cystotomy
• comparator One hundred twenty-four were treated using local anesthesia with supplemental diazepam or Innovar.
• primaryOutcome Most patients spent only three days in the hospital, with healing occurring in less than two months.
• result Most patients spent only three days in the hospital, with healing occurring in less than two months. Recurrences occurred in 20.9 per cent of the patients.
• result Most patients were pain-free and back to work within two weeks after operation.

Taken word for word from the abstract

• n was used upon 78 patients
• population the treatment of pilonidal sinuses
• intervention a technique of excision and delayed closure for the treatment of pilonidal sinuses
• comparator compared favorably with marsupialization as well as the excision and semiprimary closure technique
• primaryOutcome with regard to healing time and low recurrence rates
• result The procedure compared favorably with marsupialization as well as the excision and semiprimary closure technique with regard to healing time and low recurrence rates.

Taken word for word from the abstract

• n 63 patients with pilonidal sinus
• population A simple surgical method of treatment was used in 63 patients with pilonidal sinus.
• intervention Adequate block excision with primary closure is the basis of this technique.
• comparator A simple surgical method of treatment was used in 63 patients with pilonidal sinus.
• primaryOutcome in 59 (93.6%) of 63 patients treated, primary healing was obtained
• result in 59 (93.6%) of 63 patients treated, primary healing was obtained; in 4 (6.4%) disturbances of wound healing occured; and in 3 (4..8%) recurrences developed. The average stay in hospital was 10.4 days and the average healing time 10 days.
• followUp The follow-up period was between 1 year and 6 years.

Taken word for word from the abstract

• population recurrent pilonidal cysts
• n In 50 patients operated upon
• intervention radical excision and primary closure of recurrent pilonidal cysts
• comparator Evaluation ten years following radical excision and primary closure
• primaryOutcome Primary healing was achieved in all but one case
• result Thirty-three of the 50 patients were located for appraisal at the end of ten years. Three had had recurrences.
• followUp Evaluation ten years following radical excision