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International Journal of Surgery Science
Vol. 4, Issue 1, Part H (2020)

Opened versus closed procedures in management of pilonidal sinus (P.M.S.)

Author(s): Duraid Dawood Mahmood and Abdulhadi Meryud Abood
Abstract: Background: PNS is a common surgical disease and there are many methods of treatment such as wide excision of sinus and lay wound open to heal by granulation tissue (open), excision of a sinus with primary closure (closed), track debridement and excision or phenolization of epithelial pit and excision of PNS with primary closure using oblique incision.
Methods:
Setting: In Fallujah Teaching Hospital from Jan. 2017 to Dec. 2018.
Design: Prospective study.
These cases were chosen and divided into 2 groups: Group A: were treated by open procedure (31).
Group B: were treated by closed procedure (27).
The average period of follow up after completion of surgery was six months for both groups.
Results: In group A symptomatic improvement occurs in 26 (83.8%) of patients and the duration of healing was about 45 days, 5 (16.2%) patients were delayed healing while recurrence were 4 (12.9%).
In group B symptomatic improvement occurs in 19 (73.7%) of patients and the duration of healing was about 2 weeks. 8 (26.3%) patients were delayed healing while recurrence were 6 (22.2%).
Conclusions: From this study we find that there is no ideal treatment of pilonidal sinus according to:
1. Meantime of healing.
2. Delay healing.
3. Recurrence.
Pages: 454-457  |  711 Views  95 Downloads
How to cite this article:
Duraid Dawood Mahmood, Abdulhadi Meryud Abood. Opened versus closed procedures in management of pilonidal sinus (P.M.S.). Int J Surg Sci 2020;4(1):454-457. DOI: https://doi.org/10.33545/surgery.2020.v4.i1h.385
International Journal of Surgery Science