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Article
May 1954

TREATMENT OF PILONIDAL CYST AND SINUS

Author Affiliations

PROVIDENCE, R. I.

AMA Arch Surg. 1954;68(5):608-611. doi:10.1001/archsurg.1954.01260050610004

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Abstract

AGREAT diversity of procedures continue to be recommended for the cure of pilonidal cyst and sinus. Although differing in technical details, it is reassuring to note that there has been a trend away from the more complicated types of operations which involve transposition of muscle bundles and the use of pedicle flaps.

As we view our attempts to successfully excise a relatively small cyst and allowing for the unusual contours of the pilonidal region, it is little short of amazing that the results have been so unsatisfactory, even when a sinus is present and a lowgrade infection complicates the picture. In other parts of the body presenting a similar problem, nothing other than a permanent good result would be expected. However, one can readily visualize healing problems in any area where a large segment of tissue has been excised and closure is associated with tension on wound edges.

Earlier ideas

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