Abstract
Pilonidal sinus is a blind ending track containing hair follicles within it and is primarily a disease involving sacrococcygeal region. The exact etiology of this disease process is unknown and is still controversial. There are various treatment methods for pilonidal sinus and the preferred method is Limberg flap reconstruction surgery due to its less complications and less recurrence. Our study was a prospective study including 28 patients who were admitted for pilonidal sinus and operated by Limberg flap reconstruction surgery at Veer Surendra Sai Institute of Medical Sciences And Research from January 2018 to June 2020. Our study included 28 patients, and the female to male ratio is 1:13. Duration of symptoms had a range from 1-4 months and the mean age of the study population was 28.5 year. Patients underwent Limberg flap reconstruction surgery and 89.28% followed a normal course after surgery , 7.14% developed seroma and 3.57% developed surgical site infection in their post-operative period. Limberg flap reconstruction surgery is the most preferred method of treatment for pilonidal sinus because of its low infection and recurrence rates, better aesthetic results after surgery and short duration of hospital stay.
Highlights
Chronic Pilonidal sinus is a common disease of young men individuals, mainly affecting the sacrococcygeal region
This is a Prospective study conducted in Veer Surendra Sai Institute of Medical Sciences And Research, Burla, Odisha on patients who presented to Surgery department with complaints of pain and purulent or watery discharge from the natal cleft region
The age of the patients range from 17-40 years with a mean age of 28.5 year. 64.28 % of patients had a family history of pilonidal sinus. 75% of patients had etiology related risk factors including deep natal cleft, local trauma, familial history, obesity, hirsute body status and sedentary life style
Summary
Chronic Pilonidal sinus is a common disease of young men individuals, mainly affecting the sacrococcygeal region. Pilonidal sinus means ‘nest of hairs’ in Latin. Chronic Pilonidal sinus is a common disease of young men individuals, mainly affecting the sacrococcygeal region.. The incidence of pilonidal sinus in 100000 population is nearly 26 and it is affected in men more as compared with women. Karydakis proposed that high quantity of hair, local trauma and vulnerability of the skin to infection are the causes of pilonidal sinus. 5. Currently, congenital theory is not considered because congenital tracts do not contain hair follicles and they only contains hair. Pilonidal sinus can be treated using several defined conservative and surgical methods but recurrence rates remain high. Flap reconstruction techniques eradicate the aetiology of the disease by flattening the inter gluteal sulcus. 10 The treatment options includes Karydakis, Bascom, Limberg rhomboid flap etc. Nayak et al / Panacea Journal of Medical Sciences 2021;11(2):241244 rate and good patient compliance. 13
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