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June 1965

Sacrococcygeal Pilonidal Sinus Disease: Treatment and Long-Term Follow-Up in a Military Hospital Serving Combat-Ready Units

Author Affiliations

From the Surgical Service, United States Army Hospital Wuerzburg, Wuerzburg, Germany.

Arch Surg. 1965;90(6):890-892. doi:10.1001/archsurg.1965.01320120092007

THE SO-CALLED pilonidal sinus of the sacrococcygeal area is a common disease entity which is incapacitating in its acute stages, and which remains controversial in its pathogenesis and treatment. Ever since 1880 when Hodges gave the pilonidal sinus its present name, there have been innumerable theories not only as to its pathogenesis but, even more so, as to its treatment. Raffman's5 study in 1959 has fairly well settled the argument, at least for recent times, as to its pathogenesis, and surgeons generally agree that the disease is acquired, is not congenital, and is caused by hair that becomes bristly at puberty, perforates the skin, and makes a small sinus tract. However, the problem of treatment remains unsettled, but the general trend is toward the simpler procedures.

The purpose of this paper is to present the results of treatment of pilonidal sinuses in a military hospital which serves a combat-ready

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