Document Detail

Pilonidal sinus excision--healing by open granulation.
MedLine Citation:
PMID:  4027539     Owner:  NLM     Status:  MEDLINE    
A prospective study is reported of 100 pilonidal sinus excisions healing by open granulation. Delays in healing appeared to be due to infection, particularly by anaerobic bacteria. Comparisons are made between three groups studied consecutively - 30 wounds not treated with antibiotics, 20 given a fixed two-week course of metronidazole and 50 managed flexibly. In this last group, wound management was determined by clinical appearance; 24 wounds were clinically healthy throughout and received no antibiotic while 26 looked unhealthy initially or after an interval and were treated with metronidazole, supplemented in some cases with erythromycin. The best results were obtained in the group managed flexibly. It is considered that the problems of delayed healing are due to excisions which leave a wound of a shape ill-designed to maintain good drainage. Unhealthy wounds should be re-shaped if possible and treated early with a combination of metronidazole and erythromycin.
J Marks; K G Harding; L E Hughes; C D Ribeiro
Related Documents :
19471049 - Wound emergencies: the importance of assessment, documentation, and early treatment usi...
12215159 - Effects of delayed wound excision and grafting in severely burned children.
9732079 - Salvage of failed amputation about the hip in peripheral vascular disease by open wound...
25257779 - Alignment of the tibial component of the unicompartmental knee arthroplasty, assessed i...
23873279 - Microendoscopic discectomy in athletes.
23895589 - The sooner patients begin neurorehabilitation, the better their functional outcome.
12889079 - Cabergoline versus levodopa monotherapy: a decision analysis.
22138109 - Treatment of full-thickness chondral defects of the knee with autologous chondrocyte im...
20505839 - Safety and efficacy of changing to the travoprost/timolol maleate fixed combination (du...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  72     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1985 Aug 
Date Detail:
Created Date:  1985-10-09     Completed Date:  1985-10-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  637-40     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Bacteria, Anaerobic / isolation & purification
Erythromycin / therapeutic use
Granulation Tissue
Metronidazole / therapeutic use
Pilonidal Sinus / surgery*
Prospective Studies
Surgical Wound Infection / drug therapy,  microbiology
Time Factors
Wound Healing*
Reg. No./Substance:
114-07-8/Erythromycin; 443-48-1/Metronidazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Risk factors and clinical data related to oestrogen receptor status in women presenting with breast ...
Next Document:  Oxygen tension on the skin of the gaiter area of limbs with venous disease.