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Article
April 1952

PILONIDAL SINUSAn Evaluation of Plastic Closure Using Flaps of Gluteal Muscle

Author Affiliations

FRAMINGHAM, MASS.
Assistant Chief, Surgical Service.; From the Surgical Service, Cushing Veterans Administration Hospital.

AMA Arch Surg. 1952;64(4):438-442. doi:10.1001/archsurg.1952.01260010454003
Abstract

IN A TWO-YEAR period, 245 patients with pilonidal sinus, representing 11% of the admissions to the General Surgical Section, were treated at this hospital. Because many of the patients lived at distances that precluded treating them as outpatients, a method of management was sought that would not require the long period of hospitalization necessitated by the slow healing of open pilonidal wounds.

The technique of Shute, Smith, Levine, and Burch1 of using flaps of gluteal muscle to close the dead space left by removal of the sinus was selected for trial. One hundred thirty-five patients were treated by this method, 27 of the operations being performed by me and the rest by the resident staff under my supervision.

The patient received a nonresidue diet and cleansing enema the day before operation. Penicillin, either 25,000 units intramuscularly every three hours or a single daily dose of 300,000 units of one

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