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Sinotomy technique versus surgical excision with primary closure technique in pilonidal sinus disease
Seyfi Emir1, Omer Topuz, Burhan Hakan Kanat
1General Surgery Department, Namık Kemal University, Faculty of Medicine, Tekirdağ, Turkey.. seyfiemir@hotmail.com.
Bosnian Journal of Basic Medical Sciences
|November 28, 2014
Summary
Pilonidal sinus surgery outcomes were compared between sinotomy and excision with primary closure. Sinotomy offered faster return to work and daily activities, suggesting it
Area of Science:
- Surgical Research
- Quality of Life Studies
- Chronic Disease Management
Background:
- Pilonidal disease is a prevalent chronic condition affecting the sacrococcygeal region, particularly young males.
- Current surgical treatments for pilonidal sinus lack a universally accepted ideal method.
- Assessing patient quality of life is crucial for evaluating surgical outcomes.
Purpose of the Study:
- To compare the quality of life between patients treated with the sinotomy technique and those treated with surgical excision plus primary closure for pilonidal sinus.
- To evaluate postoperative recovery metrics including time to return to work and wound healing.
- To analyze patient-reported outcomes using a quality of life questionnaire.
Main Methods:
- Retrospective analysis of 80 patients treated for pilonidal sinus between September 2010 and June 2012.
- Patients were divided into two groups: 40 treated with sinotomy and 40 with surgical excision plus primary closure.
- Quality of life was assessed via questionnaire post-healing; complications, healing time, and return to activities were recorded.
Main Results:
- No significant differences were observed in complete wound healing or time to engage in sports between the two groups.
- Sinotomy group showed significantly shorter hospital stays, reduced time off work, and quicker return to sitting and walking without pain.
- Mean postoperative Visual Analog Scale (VAS) scores were significantly lower in the sinotomy group (2.8 ± 2.2) compared to the excision group (5.2 ± 3.2).
Conclusions:
- The sinotomy technique, combined with diligent wound care, appears to be an effective approach for pilonidal sinus treatment, offering a high cure rate.
- Sinotomy facilitates a faster return to routine daily activities and work compared to surgical excision with primary closure.
- This study highlights the benefits of sinotomy in improving patient quality of life and recovery speed for pilonidal sinus management.
