Archives of Clinical and Experimental Surgery (ACES)

2018, Vol: 7, Issue: 3

7/3Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles

Required files to uploaded

Conflict of interest form
Copyright Transfer Form
Sample Language Editing Certificate
Sample Title Page

« Previous Article

Original Research

Arch Clin Exp Surg. 2012; 1(1): 8-13

doi: 10.5455/aces.20120220101859

Secondary Healing versus Delayed Excision and Direct Closure after Incision and Drainage of Acute Pilonidal Abscess: A Controlled Randomized Trial

Mahmoud F. Sakr, Mohammad A. Ramadan, Hossam M. Hamed, Hisham E. Kantoush.

Cited by (2)

Abstract
Objective: To compare drainage and healing by secondary intention with drainage, delayed excision and direct closure (DE/DC).
Methods: Between January 2003 and January 2010, 130 patients admitted with an acute pilonidal abscess were randomized to undergo either elliptical incision and drainage (I&D) and healing by secondary intention (Group 1, n=66) or I&D and DE/DC (Group 2, n=64). Data regarding patient and sinus characteristics, hospital stay, healing time, postoperative complications, and recurrence were prospectively collected. Patients were followed-up for a mean of 62.4 months.
Results: Ninety percent of patients were men and 10% were women, with a mean age of 26.4 years and a mean body mass index of 31.5. There was no difference in hospital stay between both groups. Mean healing time was significantly (p=0.035) longer for patients in group 1 (32.2 days), compared to those in group 2 (10.7 days). Group 1 patients had significantly fewer postoperative complications (4.5% versus 17.2%, respectively) (p=0.020). The 2 groups had a similar recurrence rate of a pilonidal abscess (6.1% versus 6.3%, p=0.984), and a rate of development of a chronic pilonidal sinus (PNS) (25.8% versus 23.4%, p=0.840).
Conclusions: Although there is more rapid healing and fewer visits for dressing with I&D and DE/DC of an acute pilonidal abscess, this is accompanied by a significantly higher overall complication rate than with I&D and secondary healing. Recurrence of an acute abscess or development of a chronic pilonidal sinus is similar with both procedures.

Key words: Pilonidal abscess, drainage, delayed excision, direct closure, recurrence

	ARTICLE TOOLS
	Abstract
	PDF Fulltext
	Print this Article
	How to cite this article
	Citation Tools
	Related Records
	Articles by Mahmoud F. Sakr Articles by Mohammad A. Ramadan Articles by Hossam M. Hamed Articles by Hisham E. Kantoush
	on Google
	on Google Scholar
	Article Statistics
	Viewed: 3540 Downloaded: 735 Cited: 2

REFERENCES

This Article Cited By the following articles

Comparison of Drainage, Delayed Pits Excision, and Closure With Excision and Secondary Healing in Pilonidal Sinus Abscess Cases Int Surg 2016; 101(5-6): 227.	1

Pilonidal Disease: Review of Recent Literature Ann Colorectal Res 2014; 2(2): .	2

How to Cite this Article

Pubmed Style

Mahmoud F. Sakr, Mohammad A. Ramadan, Hossam M. Hamed, Hisham E. Kantoush. Secondary Healing versus Delayed Excision and Direct Closure after Incision and Drainage of Acute Pilonidal Abscess: A Controlled Randomized Trial. Arch Clin Exp Surg. 2012; 1(1): 8-13. doi:10.5455/aces.20120220101859

Web Style

Mahmoud F. Sakr, Mohammad A. Ramadan, Hossam M. Hamed, Hisham E. Kantoush. Secondary Healing versus Delayed Excision and Direct Closure after Incision and Drainage of Acute Pilonidal Abscess: A Controlled Randomized Trial. http://www.ejmaces.com/?mno=15360 [Access: November 14, 2018]. doi:10.5455/aces.20120220101859

AMA (American Medical Association) Style

Mahmoud F. Sakr, Mohammad A. Ramadan, Hossam M. Hamed, Hisham E. Kantoush. Secondary Healing versus Delayed Excision and Direct Closure after Incision and Drainage of Acute Pilonidal Abscess: A Controlled Randomized Trial. Arch Clin Exp Surg. 2012; 1(1): 8-13. doi:10.5455/aces.20120220101859

Vancouver/ICMJE Style

Mahmoud F. Sakr, Mohammad A. Ramadan, Hossam M. Hamed, Hisham E. Kantoush. Secondary Healing versus Delayed Excision and Direct Closure after Incision and Drainage of Acute Pilonidal Abscess: A Controlled Randomized Trial. Arch Clin Exp Surg. (2012), [cited November 14, 2018]; 1(1): 8-13. doi:10.5455/aces.20120220101859

Harvard Style

Mahmoud F. Sakr, Mohammad A. Ramadan, Hossam M. Hamed, Hisham E. Kantoush (2012) Secondary Healing versus Delayed Excision and Direct Closure after Incision and Drainage of Acute Pilonidal Abscess: A Controlled Randomized Trial. Arch Clin Exp Surg, 1 (1), 8-13. doi:10.5455/aces.20120220101859

Turabian Style

Mahmoud F. Sakr, Mohammad A. Ramadan, Hossam M. Hamed, Hisham E. Kantoush. 2012. Secondary Healing versus Delayed Excision and Direct Closure after Incision and Drainage of Acute Pilonidal Abscess: A Controlled Randomized Trial. Archives of Clinical and Experimental Surgery (ACES), 1 (1), 8-13. doi:10.5455/aces.20120220101859

Chicago Style

Mahmoud F. Sakr, Mohammad A. Ramadan, Hossam M. Hamed, Hisham E. Kantoush. "Secondary Healing versus Delayed Excision and Direct Closure after Incision and Drainage of Acute Pilonidal Abscess: A Controlled Randomized Trial." Archives of Clinical and Experimental Surgery (ACES) 1 (2012), 8-13. doi:10.5455/aces.20120220101859

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Mahmoud F. Sakr, Mohammad A. Ramadan, Hossam M. Hamed, Hisham E. Kantoush (2012) Secondary Healing versus Delayed Excision and Direct Closure after Incision and Drainage of Acute Pilonidal Abscess: A Controlled Randomized Trial. Archives of Clinical and Experimental Surgery (ACES), 1 (1), 8-13. doi:10.5455/aces.20120220101859

Contact Information

Your comments are very important to us

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access. The articles in Archives of Clinical and Experimental Surgery (ACES) are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

Copyright � 2018 Archives of Clinical and Experimental Surgery (ACES) All Rights Reserved. Subject to change without notice from or liability to Archives of Clinical and Experimental Surgery (ACES). For best results, please use Internet Explorer or Google Chrome	Contact Information Your comments are very important to us We welcome your ideas, suggestions, comments, or questions. To reach Editorial Board please use one of the methods provided below. Call us at (302) 355 0333. Our office hours are Monday - Friday, 8 AM to 5 PM EST. Or e-mail us at info@ejmanager.com We will respond within 48 to 72 hours. Change of address or personal information? Please visit your account at www.ejmanager.com to update your information.