Calcina G, Setti P, Benati L, Savioli A, Galli G
Divisione di Chirurgia, USL n. 45, Asola, Mantova.
Minerva Chir. 1995 Sep;50(9):815-9.
The authors report their personal experience of the "excision and primary suture" operating technique in the surgical treatment of pilonidal sinus. A rapid recovery by postoperative day 10 was achieved in 58 out of 60 cases treated (96.7%). Dehiscence of the surgical wound was observed in 2 cases (3.3%) following ischemic lesion caused by decubitus of the cutaneous margins and healing occurred by second intenti. No cases of short- or long-term recidivation were observed. The advantages of this method are the early return to working activities, minor patient discomfort and the reduced risk that the surgical would might become infected. Three basic stages for the successful outcome of this type of surgery have been identified as follows: 1) Although and accurate tricotomy of the sacro-coccigeal region. Antibiotic therapy is started about 2 hours before surgery. 2) The precise execution of the surgical technique. 3) The continuation of antibiotic therapy until postoperative day 7. Compressive medication is removed on postoperative day 4. If these three basic stages are respected, no cases of recidivation will occur.
作者报告了他们在藏毛窦手术治疗中“切除并一期缝合”手术技术的个人经验。在接受治疗的60例病例中，有58例（96.7%）在术后第10天实现了快速康复。2例（3.3%）因皮肤边缘褥疮导致缺血性病变后出现手术伤口裂开，通过二期愈合。未观察到短期或长期复发的病例。该方法的优点是能早期恢复工作活动、患者不适轻微且手术伤口感染风险降低。已确定此类手术成功的三个基本阶段如下：1）对骶尾部区域进行仔细且精确的三切口。术前约2小时开始抗生素治疗。2）精确执行手术技术。3）持续抗生素治疗直至术后第7天。术后第4天去除压迫敷料。如果遵循这三个基本阶段，将不会出现复发病例。
