Milone Marco, Musella Mario, Maietta Paola, Bianco Paolo, Taffuri Caterina, Salvatore Giuseppe, Milone Francesco
Surg Today. 2014 Sep;44(9):1638-42. doi: 10.1007/s00595-013-0741-z.
The aim of this study was to demonstrate the safety of using intradermal absorbable sutures for pilonidal sinus skin closure.
The study was prospectively carried out in 203 patients randomized into two groups of patients. In the first group (103 patients), interrupted sutures were used; in the second group (100 patients), a continuous intradermal suture was used. We have analyzed the time off work, time to walk without pain, time to sit on the toilet without pain, wound infections, satisfaction rate and esthetic results.
There were no significant differences between the groups with regard to the time off work, time to walk without pain and time to sit on a toilet without pain. There was also no significant difference between the groups with regard to the wound infection rates (p = 0.64). The study suggested that the patients’ satisfaction was higher when an intradermal suture was used (p = 0.001). Similarly, a better cosmetic appearance of the scar was obtained with an intradermal suture (p = 0.01).
Our results suggest that using intradermal sutures after excision and primary closure of the pilonidal sinus is safe and has advantages in terms of the cosmetic results and patient satisfaction.
本研究旨在证明使用皮内可吸收缝线闭合藏毛窦皮肤的安全性。
本研究前瞻性纳入203例患者，随机分为两组。第一组（103例患者）采用间断缝合；第二组（100例患者）采用连续皮内缝合。我们分析了误工时间、无痛行走时间、无痛坐马桶时间、伤口感染情况、满意率和美学效果。
两组在误工时间、无痛行走时间和无痛坐马桶时间方面无显著差异。两组在伤口感染率方面也无显著差异（p = 0.64）。研究表明，使用皮内缝合时患者的满意率更高（p = 0.001）。同样，皮内缝合的瘢痕外观更佳（p = 0.01）。
我们的结果表明，在藏毛窦切除并一期闭合后使用皮内缝合是安全的，在美学效果和患者满意度方面具有优势。
