SS  Vol.1 No.1 , July 2010
Combined Single Step Definitive Treatment in Acute Pilonidal Sinus Abscess Running Head: Single Step Treatment of Pilonidal Abscess
Abstract: Backgrounds: The treatment of choice has been drainage and definitive surgical treatment after an interval for acute pilonidal sinus abscess till now. Because of the high incidence of chronic pilonidal sinus disease following drainage and aiming the cure in one step, synchronous treatment choices to drainage have been attempted recently. We analyzed retrospectively 20 patients with pilonidal sinus abscess on whom we carried out drainage+ marsupialization as singlestep treatment. Methods: Drainage+ synchronous marsupialization results of 20 patients (17 male, 3 female) between 20 to 37 years of age (mean 28) were analyzed retrospectively on the parameters of operation time, recovery period, time to workreturn and recurrence ratios. Results Operation times were between 15 to 25 minutes. Mean recovery period was 45 days (3050 days), the mean period from operation to workreturn was 24 (2230) days. There were full recovery in 18 patients (90%) and recurrence in 2 patients (10%). Silver nitrate ablation treatment achieved cure in recurrences. Conclusion: Drainage+ Marsupialization is an applicable and successful combined choice in the treatment of Pilonidal sinus abscess.
Cite this paper: nullD. Yildirim, O. Sunamak, A. Pergel and M. Mounla, "Combined Single Step Definitive Treatment in Acute Pilonidal Sinus Abscess Running Head: Single Step Treatment of Pilonidal Abscess," Surgical Science, Vol. 1 No. 1, 2010, pp. 24-26. doi: 10.4236/ss.2010.11005.

[1]   R. Eryilmaz, M. Sahin, O. Alimoglu and B. Kaya, “The Comparison of Incision and Drainage with Skin Excision and Curettage in the Treatment of Acute Pilonidal Abscess,” Ulusal Travma ve Acil Cerrahi Derne?i, Vol. 9, No. 2, pp.120123, April 2003.

[2]   J. Ivana, L. Grandic and A. Tonkic, et al., “SepsisInduced Disseminated Intravascular Coagulation: A Rare Complication of Sacrococcygeal Pilonidal Sinus Disease,” Mount Sinai Journal of Medicine, Vol. 73, No. 8, December 2006.

[3]   T. G. AllenMersh, “Pilonidal Sinus: Finding the Right Track for Treatment,” British Journal of Surgery, Vol. 77, No. 22, 1990, pp. 123132.

[4]   A. Verdu, E. GarciaGranero, M. J. GarciaFuster, et al., “Osteomyelitis and Epidural Abscess Complicating Recurrent Pilonidal Cyst: Report of a Case,” Diseases of the Colon & Rectum, Vol. 43, No. 7, 2000, pp. 10151017.

[5]   A. Borer, G. Weber, K. Riesenberg, et al., “Septic Arthritis Due to Bacteroides Fragilis After Pilonidal Sinus Resection in a Patient with Rheumatoid Arthritis,” Clinical Rheumatology, Vol. 16, No. 6, 1997, pp. 632634.

[6]   N. Velitchkov, M. Djedjev, G. Kirov, et al., “Toxic Shock Syndrome and Necrotizing Fasciitis Complicating Neglected Sacrococcygeal Pilonidal Sinus Disease: Report of a Case,” Diseases of the Colon & Rectum, Vol. 40, No. 11, 1997, pp. 13861390.

[7]   A. Hegele, F. J. Strombach and F. Sch?nbach, “Reconstructive Surgical Therapy of Infected Pilonidal Sinus,” Chirurgie, Vol. 74, No. 8, August 2003, pp.74952.

[8]   P. Goodall, “The Aetiology and Treatment of Pilonidal Sinus: A Review of 163 Patients,” British Journal of Surgery, Vol. 49, 1961, pp. 212218.

[9]   S. Licheri, G. Pisano, E. Erdas, et al., “Radical Treatment of Acute Pilonidal Abscess by Marsupialization,” G Chir., Vol. 25, No. 1112, NovemberDecember 2004, pp. 414 416.

[10]   A. Ommer, C. Pitt, K. Albrecht, et al., “Pilonidal Sinus— Primary Closure also in Case of Abscess?” Zentralblatt fur Chirurgie, Vol. 129, No. 3, June 2004, pp.216219.

[11]   S. J. AlHomoud, Z. S. Habib, J. A. S. Abdul, et al. “Management of Sacrococcygeal Pilonidal Disease,” Saudi Medical Journal, Vol. 22, No. 9, September 2001, pp. 762764.

[12]   I. J. McCallum, P. M. King and J. Bruce, “Healing by Primary Closure Versus Open Healing After Surgery for Pilonidal Sinus: Systematic Review and MetaAnalysis,” British Medical Journal, Vol. 3, No. 336, May 2008, pp. 975976.

[13]   I. McCallum, P. M. King and J. Bruce, “Healing by Primary Versus Secondary Intention after Surgical Treatment for Pilonidal Sinus,” Cochrane Database of Systematic Reviews, Vol. 17, No. 4, October 2007, pp. CD006213.