Wound Healing & Surgical Infections — Practice
A 35-year-old man presents with a recurrent midline natal-cleft swelling that intermittently discharges, with visible hair-bearing pits. After incision and drainage of the current abscess, which is the definitive procedure with the lowest recurrence and good wound healing for this chronic pilonidal disease?
AWide local excision with healing by secondary intention
BKarydakis flap procedure
CPrimary midline closure
DSimple laying open of the tract