PILONIDAL SINUS: EXCISION AND PRIMARY CLOSURE IN THREE LAYERS
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A series of 52 patients with piloniclal sinus (P.N.S.). were subjected to surgical treatment. The study included 48 males and 4 females, their age range between 20 to 39 years. seven cases were recurrent and two had abscesses before surgery. Excision of the sinus was done. under general anaesthesia, deep to presacral fascia. The remaining cavity was closed primarily in midline using three layers of stitches. The first layer was placed deep to the presacral fascia. where the second one included the subcutaneous tissues, while the third layer was subcuticular. Complications encountered included infection in three. haematoma formation in one. minor wound disruption in two and recurrence in two. Patients have been followed up for two years, no recurrences has been encountered. This technique was associated with short hospital stay. rapid healing time and the wound kept closed till stitch removal.