Abstract | BACKGROUND: METHODS: Consecutive patients with pilonidal sinus were randomly assigned to one of two treatment groups: (1) open method- wound left open post-excision and (2) closed method- wound closed in two layers over gentamicin impregnated collagen. The main outcome measures were operating time, hospital stay, linear analogue pain scores (days 1, 2, 4, 7 and 14), healing rates, analgesic use and cost. Rate of recurrence at 5 years was further assessed by means of a telephone survey. RESULTS: Sixty patients were recruited from June 1999 to December 2000. Operating time was significantly longer in the closed method. Pain scores were significantly lower for the closed group. A significantly higher proportion of closed wounds healed at 4 weeks. The overall cost per patient was significantly lower for the closed group. Recurrence rate was similar at 5 years. CONCLUSION: Excision and primary closure over a gentamicin impregnated collagen is a cost-effective method of treating pilonidal sinuses, as it ensures faster healing, causes less pain and its long-term recurrence rates are similar to other techniques.
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Authors | Milind M Rao, Wojtek Zawislak, Raymond Kennedy, Robert Gilliland |
Journal | International journal of colorectal disease
(Int J Colorectal Dis)
Vol. 25
Issue 3
Pg. 395-400
(Mar 2010)
ISSN: 1432-1262 [Electronic] Germany |
PMID | 19823853
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
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Topics |
- Adult
- Analgesics
(therapeutic use)
- Animals
- Cattle
- Chronic Disease
- Demography
- Female
- Follow-Up Studies
- Hospitalization
- Humans
- Male
- Pain Measurement
- Pilonidal Sinus
(drug therapy, surgery)
- Prospective Studies
- Young Adult
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