Management of Pilonidal Sinus

Abstract

Background: Pilonidal sinus is a chronic benign disease that mostly affects young adults. It is an acquired condition and commonly arises in the sacro-coccygeal region in the hair follicles of the deep natal cleft due to certain etiologic factors like hirsutism, deep natal cleft, obesity, local trauma, local irritation and smoking. Materials and Methods: A prospective study was conducted on 40 patients of pilonidal sinus at Dr. Vasantrao Pawar Medical College, Nashik to study the clinical profile and post operative outcome of pilonidal sinus patients from January 2015 to December 2018. Results: In this study 40 patients of single pilonidal sinus over the sacro-coccygeal region were studied. The Mean age was 29 years and out of 40 patients 12 were females. The mean hospital stay in patients treated with excision was 29 days, for Z plasty was 24 days and for Limberg flap was 15 days. When followed up for 26 months 2 out of 10 patients treated with Z plasty, 1 out of 5 patients treated with open technique followed up for recurrence, and no recurrence were noted in patients with Limberg flap. Conclusion: In our study we conclude Limberg flap was associated with lesser post operative complications, shorter hospital stay, increased patient satisfaction and lower recurrence rate.