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Subcutaneous Destruction of Sinus Tract with Long-Term Vessel-Loop Drainage as Minimal Invasive Surgical Treatment for Primary Pilonidal Sinus

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Biofilm, Pilonidal Cysts and Sinuses

Part of the book series: Recent Clinical Techniques, Results, and Research in Wounds ((RCTRRW,volume 1))

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Abstract

A vessel loop drainage after subcutaneous destruction of the sinus tract is a minimal invasive surgical treatment of pilonidal sinus disease (PSD). We started to use this technique in May 2015 and operated until now 38 patients with the simple forms of PSD on an outpatient basis. All patients have been investigated until 90 postoperative days but a 1-year follow-up time has been completed by less than 50% of patients. Three patients with persisting secretion from wound orifice over 6 weeks have been revised with a mosquito clamp under the local anaesthesia. Two patients developed recurrent PSD after completed wound healing in 6 and 10 months, respectively. These patients have been operated in the same technique under the local anaesthesia with a good postoperative result during the next 90 days. There are no adverse events like abscesses. The first results of these technique are promising; however the valid date are missing.

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Authors and Affiliations

  1. Head of Department General and Visceral Surgery, Klinikum Werra-Meißner, Elsa-Braendstroem-Strasse 1, 37269, Eschwege, Germany

    Michael Korenkov M.D., Ph.D.

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  1. Michael Korenkov M.D., Ph.D.
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Correspondence to Michael Korenkov M.D., Ph.D. .

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Editors and Affiliations

  1. Tustin, CA, USA

    Melvin A. Shiffman

  2. Newport Beach, CA, USA

    Mervin Low

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Korenkov, M. (2017). Subcutaneous Destruction of Sinus Tract with Long-Term Vessel-Loop Drainage as Minimal Invasive Surgical Treatment for Primary Pilonidal Sinus. In: Shiffman, M., Low, M. (eds) Biofilm, Pilonidal Cysts and Sinuses. Recent Clinical Techniques, Results, and Research in Wounds, vol 1. Springer, Cham. https://doi.org/10.1007/15695_2017_19

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  • DOI: https://doi.org/10.1007/15695_2017_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-03076-6

  • Online ISBN: 978-3-030-03077-3

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