PMC3971488_01
The complex pilonidal sinus with several openings and extended abscess.
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fig1
A lump of tenderness was found left lateral to the openings (Figure 1).
The sutures in the sinus tract cavity.
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fig2
Ten 2-0 silk sutures were put through the 2 incisions and secured loosely to themselves (Figure 2).
The wound with simple vacuum assisted dressing in place.
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fig3
A 15 cm x 15 cm antimicrobial incise drape (Ioban 2, 3 M Health Care, MN, USA) covered catheter and gauzes for seal (Figure 3).
Three weeks after the operation, the reepithelialization was complete.
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PMC3971488_01_CRIS2014-425497.004.jpg
fig4
Complete wound reepithelialization was obtained at 22 days postoperatively (Figure 4).