Excision of pilonidal sinus with secondary healing

  1. Exposing the fistulizing sinuses

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    Exposing the fistulizing sinuses
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    Several fistula orifices are visible in the anal cleft. Probing demonstrates fistulization nearly to the posterior anal verge. The fistulizing sinuses are marked with a dye (toluidine blue) (this ensures complete excision of all secondary sinuses).

En-bloc excision

Complete oval excision of the entire chronically infected tissue. All tissue marked blue must be sa

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general and visceral surgery

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