Fishbein R H, Handelsman J C
Ann Surg. 1979 Aug;190(2):231-5. doi: 10.1097/00000658-197908000-00017.
A great variety of procedures have been proposed for the cure of Sacrococcygeal pilonidal disease. Initial enthusiasm has usually given way to disappointment when it is realized that the treatment is painful, the hospitalization is prolonged, the aftercare is tedious or the original condition appears to have recurred. A technique is described which permits the total extirpation of cyst and sinus tracts while allowing for a tensionless wound closure by advancement of a buttock flap. Hospitalization is brief and the postoperative course is comfortable. Fifty such operations have been performed since November 1968. In the first group of thirty patients operated upon between three and ten years ago, a single bonafide failure occurred. An additional twenty patients have been successfully treated for an overall failure rate of 2%.
为治疗骶尾部藏毛疾病，人们提出了各种各样的手术方法。当人们意识到治疗过程痛苦、住院时间延长、术后护理繁琐或者原发病似乎复发时，最初的热情通常会被失望所取代。本文描述了一种技术，该技术可以完全切除囊肿和窦道，同时通过推进臀瓣实现无张力伤口闭合。住院时间短，术后恢复舒适。自1968年11月以来，已进行了50例此类手术。在3至10年前接受手术的第一组30例患者中，仅出现了1例真正的失败病例。另外20例患者已成功治愈，总体失败率为2%。
