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

A study on different modalities of treatment for pilonidal sinus

Author(s): Dr. Mohammed Abdul Hadi, Dr. Syed Mujtaba Ibrahim and Dr. Atif Abdul Samee
Abstract: Background: Excision with lay open method and excision with primary closure (simple closure, z-plasty, limberg flaps are both radical methods for treating pilonidal sinus. The ideal operation should be simple and should not require a prolonged stay, have low recurrence, failure rate and post-operative complication.
Aim& Objective: The main objective of the present study to compared different techniques for treatment of sacrococcygeal pilonidal sinus.
Methodology: It was a cross sectional study. The materials for this study was taken from the patient admitted to Owaisi hospital from Jan 2013-Dec 2014 (2yr period) Twenty eight patients with pilonidal sinus who were admitted to Owaisi hospital
Results: In the present study, 15 out of 28 cases were treated by excision and lay open method. The mortality was nil, but the recurrence was 1 and 2 failures were noticed (totally 22.6% failure) in terms of morbidity. Patients abstained from work till the wound healed i.e. 44-68 days(average 49.5 days).The remaining 13 cases were operated by excision and primary closure (simple closure, z-plasty, limberg flap method) out of which 8 cases were treated with z-plasty and 2 cases with simple primary closure and 3 cases with limberg flap method. The mortality was nil, the recurrence rate and post-operative complications were nil and all patients returned to work early within 7 days.
Conclusion: Finally we concluded that all cases where closure is possible should be treated with different closure techniques (simple closure, z-plasty, limberg flap). Deep gluteal cleft is flattened with z-plasty and limberg flap technique. Hence the suction effect is obliterated. All predisposing factors are countered by flap technique hence flap techniques are ideal for treatment for pilonidal sinus.
Pages: 87-91  |  303 Views  139 Downloads
How to cite this article:
Dr. Mohammed Abdul Hadi, Dr. Syed Mujtaba Ibrahim, Dr. Atif Abdul Samee. A study on different modalities of treatment for pilonidal sinus. Int J Surg Sci 2020;4(4):87-91. DOI: https://doi.org/10.33545/surgery.2020.v4.i4b.544
International Journal of Surgery Science