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Day-care surgery for pilonidal sinus.

A K M Abdul-Ghani1, A N Abdul-Ghani, C L Ingham Clark

  • 1Department of Surgery, Whittington Hospital, London, UK.

Annals of the Royal College of Surgeons of England
|November 30, 2006
PubMed
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Day-care surgery for pilonidal sinus using excision and primary asymmetric closure is feasible and safe. This approach offers potential cost savings compared to traditional inpatient procedures.

Area of Science:

  • Colorectal Surgery
  • Surgical Day Care
  • Pilonidal Sinus Treatment

Background:

  • Surgical management of pilonidal sinus lacks a definitive ideal technique.
  • Ambulatory treatment with minimal morbidity and rapid recovery is highly desirable.

Purpose of the Study:

  • To evaluate the feasibility of day-care surgery for symptomatic pilonidal sinus.
  • To assess excision and primary asymmetric closure as a day-case procedure.

Main Methods:

  • Elective day-care surgery for pilonidal sinus excision with primary asymmetric closure.
  • General anesthesia in the left lateral position.
  • Same-day discharge protocol with outpatient follow-up.

Main Results:

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  • 88% of patients achieved complete wound healing within 4 weeks.
  • A recurrence rate of 8% was observed over 12-38 months follow-up.
  • No inpatient admissions or unplanned re-admissions occurred; significant cost savings were noted.

    • Conclusions:

    • Excision and primary asymmetric closure is a safe and feasible day-care surgical option for pilonidal sinus.
    • Day-care surgery for pilonidal sinus offers substantial cost benefits.