Kam B H
Arch Chir Neerl. 1976;28(1):43-53.
A simple surgical method of treatment was used in 63 patients with pilonidal sinus. Adequate block excision with primary closure is the basis of this technique. The problem of closure and obliteration of the dead space was solved by using absorbable sutures to unite fascia and subcutis in the midline, after mobilization of the skin and subcutaneous layers of the wound edges. In 59 (93.6%) of 63 patients treated, primary healing was obtained; in 4 (6.4%) disturbances of wound healing occured; and in 3 (4..8%) recurrences developed. The average stay in hospital was 10.4 days and the average healing time 10 days. The follow-up period was between 1 year and 6 years. The scars were sound, supple and painless. Our results include 6 patients, treated several days before the definitive procedure by incision and drainage for a pilonidal abscess. Antibiotic or chemotherapeutic agents were not used.
对63例藏毛窦患者采用了一种简单的手术治疗方法。充分的块状切除并一期缝合是该技术的基础。在游离伤口边缘的皮肤和皮下层后，通过使用可吸收缝线在中线将筋膜和皮下组织缝合在一起，解决了死腔的闭合和消除问题。在接受治疗的63例患者中，59例（93.6%）实现了一期愈合；4例（6.4%）出现伤口愈合障碍；3例（4.8%）复发。平均住院时间为10.4天，平均愈合时间为10天。随访期为1年至6年。瘢痕良好、柔软且无痛。我们的结果包括6例患者，他们在确定性手术前几天因藏毛窦脓肿接受了切开引流治疗。未使用抗生素或化疗药物。
