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'D' excision for sacrococcygeal pilonidal sinus disease.

C V Mann, R Springall

Journal of the Royal Society of Medicine

|May 1, 1987

Summary

A novel excision and primary suture technique effectively treats pilonidal sinus. This surgical approach demonstrated an 80% initial healing rate, with all patients achieving recovery after minor follow-up procedures.

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Area of Science:

Surgical Procedures
Proctology
Wound Healing

Background:

Pilonidal sinus disease often requires surgical intervention.
Recurrence and complications can occur with traditional treatments.
The need for effective and minimally invasive surgical options persists.

Purpose of the Study:

To introduce and evaluate a new excision and primary suture technique for pilonidal sinus treatment.
To assess the efficacy and outcomes of this technique in patients with both chronic and acute pilonidal sinus disease.
To compare results between patients with no prior surgery and those with multiple previous operations.

Main Methods:

A consecutive series of 30 patients underwent treatment for pilonidal sinus using an excision and primary suture technique.
Patients were categorized into two groups: 17 with no prior surgery and 13 with multiple previous operations.
Outcomes, including healing rates and hospital stay, were meticulously recorded and analyzed.

Main Results:

An overall initial healing rate of 80% (24 out of 30 patients) was achieved with the new technique.
Patients with no prior surgery (Group 1) showed a higher success rate (88%) compared to those with previous operations (Group 2, 69%).
Mean hospital stay was 16 days, with Group 1 averaging 15 days and Group 2 averaging 17 days.

Conclusions:

The described excision and primary suture technique is a viable and effective method for treating pilonidal sinus.
The procedure offers a high success rate, particularly in patients without prior surgical history.
All patients achieved complete healing, underscoring the technique's overall efficacy even with additional minor procedures.

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