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. |
