The high incidence of pilonidal cysts and sinuses found in inductees of the United States Army has aroused widespread interest in this condition. In a basic training center new inductees receive vigorous physical training, and this conditioning is prone to irritate preexisting pilonidal cysts and sinuses. In the recent literature there have been numerous descriptions of the treatment of this defect by both primary and partial closure. This brief report does not describe a new operative method but is an attempt to contribute to the evidence in favor of partial closure of these wounds.
There is need for a procedure which requires as short a hospital stay as possible and which will result in a firm stable scar. Our duty as Army surgeons is to repair physical defects to the best of our ability and to return the soldier to duty as soon as possible. Numerous primary or partial closure
Mutschmann PN, Mitchell GA. A TREATMENT OF PILONIDAL CYSTS AND SINUSESA MODIFIED METHOD OF CLOSURE. JAMA. 1944;124(1):30–31. doi:10.1001/jama.1944.62850010001007
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