A series of 100 patients with natal cleft sinus (P. N. S.) were subjected
to be managed surgically. They included 79 males and 21 females, their
mean age was 26. 7 years, (S. D + 2.6).
Their mean period of illness varied from 1.4 to 5.1 months. No congenital
anomalies were detected in any of our patients. Excision of the sinus
under anaesthesia deep to the presacral fascia was performed for all the
patients. To manage the remainning cavity the patients were grouped
randomly into (equal groups. One group had primary rnidline closure, the
second was managed by primary oblique closure, in the third group the
wounds were left opened and the last group was managed by marsupialization.
Comparative study between the 4 groups revealed that best results
were obtained in the patients of groupll having their wounds managed
by primary oblique closure as the recurrence rate was less than the
other groups also they had shorter hospital stay and less days Off work
as their wounds had a more rapid healing time. |
