
PILONIDAL SINUSSURGICAL TREATMENT AND PATHOLOGIC STRUCTURE
HORATIO ROGERS, M.D.;
MARSHALL G. HALL, M.D.
Arch Surg. 1935;31(5):742-766.
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It is our purpose in this paper to present the clinical and pathologic data on which are based our views on the treatment of pilonidal sinus. The question of etiology, though unsettled, will not be considered here. The clinical picture is a familiar one, and its description needs no repetition. The conception of the disease on which most surgical treatment is based, however, will be discussed at some length.
CURRENT CONCEPT OF MORPHOLOGY
It has been commonly believed that the presence of a recurrent or persistent sinus after excision implies that some of the diseased tissue must have been left behind. This belief has naturally led to increasingly radical excisions in an attempt to remove all the diseased tissue at one operation. The frequency of recurrence and persistence of the sinus in spite of such operations has given rise to the impression that a pilonidal sinus consists of a complex
. . . [Full Text PDF of this Article]
Author Affiliations
BOSTON
From the Surgical and Pathological Services of the Massachusetts General Hospital.
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