Benfatto G, Zanghi G, Catalano F, Benfatto S, Licari V, Basile G Ppe, Tenaglia L, Fancello R, Catania G
Cattedra di Chirurgia Geriatrica, Università degli Studi di Catania.
G Chir. 2003 May;24(5):205-8.
Recurrent pilonidal sinus treatment is still controversial, as more and more frequently methods used determine unpleasant discomforts to the patients ("open" method) or increase recurrences rate. According to this consideration, the Authors have made a review of their cases (27 patients with recurrences), selected by standardized criteria and treated by "en bloc" excision of all pathologic tissue and following closure "per primam" of the wound, previously placing an aspirative drainage, then removed after 2 or 3 days. Ordinary use of the drainage, antibiotic prophylaxis extended to postoperative sixth or seventh day and daily careful disinfection of the wound and surrounding skin until suture removal got them excellent results.
复发性藏毛窦的治疗仍存在争议，因为越来越多所采用的方法会给患者带来不适（“开放”方法）或增加复发率。基于这一考虑，作者回顾了他们的病例（27例复发病例），这些病例是按照标准化标准选取的，并采用“整块”切除所有病变组织的方法进行治疗，随后对伤口进行“一期”缝合，术前放置吸引引流管，2或3天后拔除。常规使用引流管、将抗生素预防延长至术后第六或第七天，以及每天仔细消毒伤口和周围皮肤直至拆线，取得了极佳的效果。
