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Excision and simple primary closure of chronic pilonidal sinus.

T M Al-Jaberi1

  • 1Department of General Surgery, Princess Basma Teaching Hospital, Jordan University of Science and Technology, Irbid. emantaj@nol.com.jo

The European Journal of Surgery = Acta Chirurgica
|March 27, 2001
PubMed
Summary

Asymmetrical excision and primary closure of pilonidal sinus is a cost-effective treatment. This method achieved high healing rates with minimal pain and quick return to work for patients.

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Area of Science:

  • Surgical procedures
  • Proctology
  • Wound healing

Background:

  • Pilonidal sinus disease is a common condition requiring surgical intervention.
  • Traditional treatments often involve complex procedures with higher complication rates.

Purpose of the Study:

  • To assess the efficacy of asymmetrical complete excision and simple primary closure for chronic pilonidal sinus.
  • To evaluate outcomes without drains or tension sutures.

Main Methods:

  • Prospective study involving 46 patients with chronic pilonidal sinus.
  • Surgical technique involved excision down to sacrococcygeal fascia with primary wound closure.
  • No drains or tension sutures were used.

Main Results:

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  • High complete healing rate of 89% (41/46 patients) after a mean follow-up of 36 months.
  • Minimal postoperative pain and short hospital stay (48 hours).
  • Recurrence rate of 4% and wound breakdown in 7% of patients.

Conclusions:

  • Asymmetrical excision with simple primary closure is a safe and effective treatment for chronic pilonidal sinus.
  • This approach offers a cost-effective solution with good patient outcomes.
  • Early return to work is achievable with this surgical method.