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藏毛囊肿和瘘管:整块根治性切除及一期缝合

[Pilonidal cysts and fistulas: radical excision "en bloc" and closure "per primam"].

作者信息

Mecchia P, Tonizzo C A, Flamia M

机构信息

Divisione Chirurgia Generale, Ospedale Civile S. Maria dei Battuti, USL n. 9 del Sanvitese, S. Vito al Tagliamento, Pordenone.

出版信息

Minerva Chir. 1995 Jun;50(6):553-6.

PMID:7501211
Abstract

For the radical surgical treatment of pilonidal cysts and fistulas, the authors suggest the excision "en bloc" of the complete pathological tissue and the primary closure, according to a procedure which considers not only a accurate surgical technique and a kind of dressing which avoids pressure and traction on the sutures, but also a s.t. antibiotic prophylaxis based on culture tests. This kind of approach in surgical treatment showed according to their experience, excellent immediate and long term results, causing slight inconvenience to patients, with a short recovery with regard to cases treated without primary closure.

摘要

对于藏毛囊肿和瘘管的根治性手术治疗,作者建议整块切除完整的病变组织并进行一期缝合,该手术不仅要考虑精确的手术技巧和避免对缝线施加压力及牵引力的敷料类型,还要依据培养试验进行预防性抗生素治疗。根据他们的经验,这种手术治疗方法显示出极佳的近期和长期效果,给患者带来的不便轻微,与未进行一期缝合的病例相比恢复时间较短。

相似文献

1
[Pilonidal cysts and fistulas: radical excision "en bloc" and closure "per primam"].藏毛囊肿和瘘管:整块根治性切除及一期缝合
Minerva Chir. 1995 Jun;50(6):553-6.
2
[The use of drainage in the "per primam" treatment of recurrent pilonidal cysts].[引流在复发性藏毛囊肿“初次”治疗中的应用]
G Chir. 2003 May;24(5):205-8.
3
Drainage useful in the excision and closure "per primam" of pilonidal sinus: technical notes.
Chir Ital. 2003 Jul-Aug;55(4):621-4.
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[Surgical revision of the pilonidal sinus with single shot antibiosis].[藏毛窦手术翻修与单次抗菌治疗]
Chirurg. 1995 Mar;66(3):220-3.
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The role of cefoxitin prophylaxis in chronic pilonidal sinus treated with excision and primary suture.头孢西丁预防在慢性藏毛窦切除及一期缝合治疗中的作用
J Am Coll Surg. 1995 Feb;180(2):157-60.
6
[Primary midline closure after excision of a pilonidal sinus is associated with a high recurrence rate].藏毛窦切除术后一期中线缝合与高复发率相关。
Chirurg. 2003 May;74(5):461-8. doi: 10.1007/s00104-003-0616-8.
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Treatment of pilonidal sinus with primary closure. A twenty-year experience.一期缝合治疗藏毛窦:20年经验
Chir Ital. 2008 May-Jun;60(3):433-8.
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[Excision and immediate suture technic in the treatment of pilonidal fistula. Our experience].[藏毛窦瘘管治疗中的切除与即时缝合技术。我们的经验]
Minerva Chir. 1995 Sep;50(9):815-9.
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Bactericidal antimicrobial cover in primary suture of perianal or pilonidal abscess. A prospective, randomized, double-blind clinical trial.
Acta Chir Scand. 1989 Jun-Jul;155(6-7):351-4.
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[Pilonidal sinus: long term results of excision and closure technic. Review of the literature].
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引用本文的文献

1
Impact of geography and surgical approach on recurrence in global pilonidal sinus disease.地理因素和手术方式对全球藏毛窦疾病复发的影响。
Sci Rep. 2019 Oct 22;9(1):15111. doi: 10.1038/s41598-019-51159-z.
2
Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence.常见的手术治疗藏毛窦疾病:荟萃分析、合并数据分析和复发的综合研究。
Sci Rep. 2018 Feb 15;8(1):3058. doi: 10.1038/s41598-018-20143-4.