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Simple excision and primary closure of pilonidal sinus: a simple modification of conventional technique with
I Aldean1, P J Shankar, J Mathew
1Department of Gastrointestinal Surgery, Trafford Healthcare NHS Trust, Manchester, UK. Ishmail.Aldean@trafford.nhs.uk
Objective:
Pilonidal sinus (PNS) is a common condition, which warrants surgical intervention. A number of surgical options have been suggested with variable recurrence rate. This study proposes a modification of a standard method.
Methods:
A total of 51 patients with sacrococcygeal PNS were sequentially treated by the standard method devised by one Consultant Colorectal Surgeon (IA). The principle is based on: 1, after excising the PNS ensure obliteration of the natal cleft by releasing the fat pad from the gluteal fascia; 2, avoid tension and 3, encourage patients to lie on their back immediately after the operation.
Results:
Follow-up was available from 51 patients ranging from 14 to 49 months. All patients were discharged within 48 h. There was only one recurrence, which was successfully treated.
Conclusion:
Our results suggest that PNS can be successfully treated by our hitherto undescribed method, patients can be discharged early and there is very low recurrence rate.
