Gupta P J
Department of General Surgery, Gupta Nursing Home, Nagpur, India.
Acta Chir Belg. 2005 Apr;105(2):183-6.
A wide variety of approaches are employed in dealing with sacro-coccygeal pilonidal sinus disease. They range from a conservative treatment to an extensive surgical excision. However, a method of lying open sinuses is still practiced in many parts of the world due to its simplicity and favourable outcome.
This study describes a modified approach to the above procedure where a radio surgical device has been used to carry out the complete process. Twenty-one patients with chronic pilonidal sinus were treated with this technique of radio surgery. There were 11 males and 10 females.
The mean hospital stay was 8 hrs and mean time to return to work was 7 days. Mean healing time was recorded as 71 days. One patient had a delayed wound healing due to premature approximation of the external wound, needing refashioning of the edges. No recurrence was seen at a 2-year follow-up.
An ideal surgical procedure for pilonidal sinus should be one, aiming at reducing hospital stay, minimizing tissue assault, promoting early work resumption and preventing recurrence. The technique of lying open of sinus tract using radio surgery technique resulted in achieving less tissue trauma, pain and inflammation. The patients returned to their routine within a short duration of time. The results do compare with the other extensive surgical procedures in vogue.
处理骶尾部藏毛窦疾病有多种方法。从保守治疗到广泛的手术切除。然而，由于其操作简单且效果良好，开放窦道的方法在世界许多地方仍在使用。
本研究描述了一种对上述手术的改良方法，其中使用了放射外科设备来完成整个过程。21例慢性藏毛窦患者采用这种放射外科技术进行治疗。其中男性11例，女性10例。
平均住院时间为8小时，平均恢复工作时间为7天。平均愈合时间记录为71天。1例患者因外部伤口过早闭合导致伤口愈合延迟，需要重新修整边缘。2年随访未见复发。
理想的藏毛窦手术方法应是旨在缩短住院时间、减少组织损伤、促进早日恢复工作并防止复发的方法。使用放射外科技术开放窦道的方法导致组织创伤、疼痛和炎症减轻。患者在短时间内恢复了日常生活。结果与其他流行的广泛手术方法相比确实如此。
