Many surgical methods used for treatment of pilonidal sinus have
been described. The persistent unhealed midline wound is commonly
seen laying open or excision of the primary disease. Such wound are
demand regular medical attention and many persistent for a long periods.
Seventy four patients of mean age 27 years and mean duration of the
disease was 2.7 years. The sinus was excised through lateral incision
about one inch from the midline. The midline pits was cauterized
subcutaneously the wound is closed by deep sutures and the edges with
subcuticular prolene. A median hospital stay of 2.1 days. Primary healing
without complications in 62 patients within two weeks. Subcutarteos
haematoma developed in 2 cases and abscess formation in one case.
Postoperative wound infection found in 2 cases. Wound disruption
occurred in 2 cases. Recurrence of the disease occurred in 5 cases. The
complications was treated with healing time 21-25 days. Follow up for
two years with no recurrence. These results of this procedure is safe and
has rapid cure rate. and short hospital stay. |
