LATERAL APPROACH FOR TREATMENT OF PILONIDAL SINUS WITH CAVITY OBLITERATION AND PIT CAUTERIZATION
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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.