ArticleAnnals of surgical treatment and research2019
Inverse 'D' incision technique in treatment of pilonidal sinus disease; excision with minimal tissue loss, closure without tension and lateral location of the suture line.
Article in Annals of surgical treatment and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 5 citations in OpenAlex.
- Advancements in Surgical Approaches for Sacrococcygeal Pilonidal Sinus: A Comprehensive Review.Cureus · 2024Review
- Unroofing curettage for treatment of simple and complex sacrococcygeal pilonidal disease.Annals of surgical treatment and research · 2022Article
- Primary Transverse Closure Compared to Open Wound Treatment for Primary Pilonidal Sinus Disease in Children.Children (Basel, Switzerland) · 2020Article
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Authors and funding
3 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeSurgical excision is the preferred treatment modality for sacrococcygeal pilonidal sinus (PS). Notably, the desirable features of an ideal surgical intervention are excision with minimal tissue loss, closure without tension, and a lateral suture line. The present study aimed to investigate early outcomes of surgical excision through the inverse D (ᗡ) incision based on tissue loss, wound tension, and suture line location.
methodsThis prospective study was comprised of 80 patients with PS in whom excision of PS was performed through the 'ᗡ' incision to minimize tissue loss with a tensionless primary surgical wound closure. The suture line was located laterally in all patients. Early and late postoperative complications, duration of hospital stay, return to work, and recurrence rates were investigated. The mean duration of the follow-up period was 36 months.
resultsSixty-three patients (78.8%) were male. PS in all patients was surgically removed by subcutaneous excision through a 'ᗡ' incision. Laterally placed surgical wounds were closed primarily with interrupted vertical mattress sutures. No general complications were encountered. Five patients (6.3%) experienced early postoperative surgical site complications. On average, the duration of hospital stay and return to work were 2.4 days and 3.8 days, respectively. Recurrence was seen in 1 case (1.3%) during the follow-up period. Satisfaction score was high in 83.8% of patients.
conclusionThe method of sinus excision using the 'ᗡ' incision with a primary suture facilitates excision with minimal tissue loss and closure without tension with an off-midline suture. It is both a simple and effective surgical technique for the treatment of sacrococcygeal PS.
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