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Excision and primary suture of pilonidal sinus

H S Khaira1, J H Brown

  • 1Department of Surgery, Good Hope Hospital, Sutton Coldfield, West Midlands.

Annals of the Royal College of Surgeons of England
|July 1, 1995
PubMed
Summary

Excision and primary closure for pilonidal sinus offers a 1-day inpatient stay and minimal time off work. This surgical approach for pilonidal sinus disease shows a 17.5% recurrence rate, with treated recurrences having good outcomes.

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Area of Science:

  • Surgical procedures
  • Pilonidal sinus disease management

Background:

  • Pilonidal sinus is a prevalent and debilitating condition affecting young adults.
  • Numerous surgical treatments exist, but the optimal method remains debated due to similar recurrence rates.
  • Factors like anesthetic type, hospital stay, and recovery time are critical considerations.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of excision and primary closure for pilonidal sinus.
  • To assess complication rates, pain management, and recurrence following this surgical technique.

Main Methods:

  • A retrospective review of 46 patients undergoing excision and primary closure over 4 years.
  • Patients received either general or spinal anesthesia.
  • Data collected on inpatient stay, complications, pain, time off work, and recurrence.

Main Results:

  • Average inpatient stay was 1 day.
  • Early complications occurred in 8% of patients.
  • Bupivacaine infiltration reduced early pain.
  • Follow-up in 40 patients showed an average of 3 weeks off work and a 17.5% recurrence rate.
  • Three recurrent cases were successfully re-treated.

Conclusions:

  • Excision and primary closure is a viable surgical option for pilonidal sinus, offering reduced hospital stay and work absence.
  • While recurrence occurs, it is manageable, and re-treatment yields positive results.
  • Minimizing patient inconvenience is a key advantage of this approach.

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