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Comparison between three therapeutic modalities for non-complicated pilonidal sinus disease
1Department of Surgery in Misr University for Science and Technology Hospital, Cairo, Egypt. hamohamed@rcsed.ac.uk
Summary
Limited excision for pilonidal sinus disease offers comparable results to wide excision with shorter recovery times. This surgical approach leads to better patient satisfaction and is a highly effective therapeutic option.
Area of Science:
- Surgical Oncology
- Colorectal Surgery
Background:
- Pilonidal sinus disease (PSD) is a common condition requiring surgical intervention.
- Various surgical techniques exist for PSD treatment, each with distinct outcomes.
Purpose of the Study:
- To compare the outcomes of three surgical methods for treating pilonidal sinus disease.
- To evaluate operative time, hospital stay, blood loss, pain, wound healing, and patient satisfaction.
Main Methods:
- A prospective, blind, randomized study involving 83 patients with pilonidal sinus disease.
- Patients were assigned to three groups: wide resection with primary closure (Group A), wide resection with secondary intention healing (Group B), and limited excision with secondary intention healing (Group C).
- Follow-up ranged from 15 to 48 months, with data collection on various clinical and patient-reported outcomes.
Main Results:
- Limited excision (Group C) demonstrated significantly shorter operative times, hospital stays, blood loss, and post-operative pain compared to primary closure (Group A).
- The closed wound group (Group A) exhibited the shortest wound healing time, followed by limited excision (Group C), while wide excision (Group B) had the longest healing time.
- Recurrence rates were similar across all groups, with obese patients presenting recurrence within six months post-operation.
Conclusions:
- Limited excision of pilonidal sinus disease is a highly effective therapeutic option.
- This method yields results comparable to more aggressive excisional techniques but offers advantages in shorter convalescence and improved patient satisfaction.