Do we need to use subcutaneous suture for pilonidal sinus treated with excision and simple primary closure?

Area of Science:

• Surgical Innovation
• Cost-Effectiveness in Healthcare
• Pilonidal Sinus Management

Background:

• Pilonidal sinus (PS) is a chronic condition requiring effective surgical treatment.
• Current surgical options for PS lack ideal simplicity and cost-effectiveness.
• Reducing operational costs in PS treatment is a significant clinical goal.

Purpose of the Study:

• To evaluate the feasibility of reducing surgical costs for pilonidal sinus (PS) treatment.
• To assess the impact of omitting subcutaneous sutures in excision and primary closure for PS.
• To compare complication rates and costs between PS treatment with and without subcutaneous sutures.

Main Methods:

• A randomized study included 152 male patients with chronic pilonidal sinus (PS).
• All patients underwent excision and simple primary closure.
• Group I (n=74) received subcutaneous closure with polyglactin sutures; Group II (n=78) did not.

Main Results:

• Group I had 7 early complications (9.5%), including wound breakdown and infection.
• Group II had 5 early complications (6.4%), including wound dehiscence and infection, plus 1 late complication (1.3%).
• Subcutaneous suture omission in Group II reduced material costs.

Conclusions:

• Excision and simple primary closure is a cost-effective surgical approach for pilonidal sinus (PS).
• Eliminating subcutaneous sutures simplifies the procedure and lowers overall operational expenses.
• This modified technique presents a viable, economical option for PS management.