One day surgery for pilonidal disease

There are numerous surgical options for pilonidal disease. We practice "D" excision technique with a suction drain under local anesthesia as a 1 day surgery procedure.

54 patients had pilonidal surgery between March 2001 and December 2003. "D" excision with a suction drain under local anesthesia was performed. An attention was given not to make a wide excision. Tracks lying outside the excised area were removed by the same technique with small "D" incisions. Subcutaneous tissues were sutured with absorbable interrupted sutures in layers. The wound was closed subcutaneously with running monofilament non-absorbable suture. All the operations were performed as 1 day surgery procedure. 33 of 54 patients had been reached by call on March 2009.

Recurrence was seen in four of 54 patients (7.4%). Follow-up of two of these four patients have been uneventful after the second operation. Infection developed in two patients (3.7%) and caused a wound dehiscence. Both patients healed without any problems. All of the patients were able to return to their daily activities on the 3-5 postoperative day.

"D" excision technique as a 1 day surgery procedure for pilonidal disease is performed with a low complication and recurrence rate (Ref. 19).