Different Surgical Approaches for Pilonidal Sinus – Our Experience in a Peripherally Located Tertiary Care Hospital

Abstract

Introduction: Pilonidal disease in sacrococcygeal or intergluteal region is an acquired chronic inflammatory disorder with superimposed infection. It is commonly seen in young hairy individuals and usually presents as an abscess or a painful sinus tract in the natal deft with sero/purulent discharge. Aims and Objectives : The objectives of the study were to assess and compare different surgical techniques in the management of pilonidal sinus disease. Materials and Methods This retrospective study was conducted in the Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya (D), from August 2018 to January 2020. Results During the study period, 30 patients were enrolled, 22 patients were male and 8 were female, with a mean age of 24.3 years. The mean operative time for primary closure was 61 min and flap reconstructions were 70 min with mean hospital stay of 8 and 6 days, respectively. The mean time to walk without pain is 30 and 12 days, respectively. Wound dehiscence was noted in a patient with primary closure. No recurrence was noted for a mean follow-up period of 6 months in any patients. Conclusions: Flap reconstructions were superior to primary closure after excision of pilonidal sinus and that modified Limberg flap was superior with regard to wound infection and recurrence for pilonidal disease.