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Case Reports in Surgery
Volume 2014, Article ID 425497, 4 pages
http://dx.doi.org/10.1155/2014/425497
Case Report

The Integrative Method “Suture Dragging and Simplified Vacuum Assisted Therapy” for Complex Pilonidal Sinus Disease

Department of Anorectal Surgery, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, No. 725 South Wanping Road, Shanghai 200032, China

Received 20 December 2013; Accepted 15 January 2014; Published 4 March 2014

Academic Editors: C. Barnett and F. Catena

Copyright © 2014 Chen Wang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Complex and recurrent pilonidal sinuses are best treated with surgery. Different surgical modalities as complete excision of the pilonidal sinus leave the wound open or procedures like closing the wound with or without reconstructive flap are widely used. The open procedure is radical but may cause broad excision and prolonged morbidity, while risk of infection and rate of recurrence are higher in the closed techniques. Traditional Chinese surgical treatments are less invasive and more effective; they have been used to treat sinus and fistula disease successfully. In this case report, we have described a male adolescent with complex pilonidal sinus, who received traditional Chinese surgical treatment combined with modern wound healing technique. He recovered completely with short hospitalization, good tolerance, less pain, and scarring. Therefore, we recommend using this integrative method to treat complex pilonidal sinus disease.