外科ジャーナル

Evidence-Based Management of Sacrococcygeal Pilonidal Sinus

Abstract

Aly Saber *

A best evidence topic was arranged according to the previously accepted structured protocol. The question addressed here was if flap construction after excision of pilonidal sinus tracks showed difference in functional outcome compared to simple closure. A total of 118 papers were found using the reported search, six represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group, study type, outcomes and key results of these papers are tabulated. Of these six studies, one was one was systematic review of prospective randomized controlled trials and the other five were prospective randomized controlled studies. Four studies showed that flap construction was not superior to simple primary closure techniques in terms of outcome and patient satisfaction. The other two reported that excision and flap construction was better than excision and primary repair in treatment of pilonidal disease.