Abstract
Objective: To Assess the outcome of different treatment options we used in our 310 Cases of Sacro Coccygeal Pilonidal Disease in 12 Years. Methods: Analytical case study. 310 Patients were divided in 4 groups according to the stage of disease. Ist group, sinuses with occasional discharge (110 Cases) had eccentric excision closed with advancing flap. (Karydakis Flap). 2nd group, limited disease with dryed up occasionally bleeding track excised and closed under local anaesthesia (17 Case). Third group, very extensive, severe disease with multiple sinuses (161 cases). Treated with Lim berg flap. 4th group of acute abscess treated with incision drainage and debridement, (22 Cases). Results: Hospitalization period 3.5 days in all groups. Mean period for healing 3.8 wreaks. Late recurrences after one year follow up were; In group 1, karydakis flap, 1.85%, Group 2, Local excision Nil, Group 3, Limbergs flap Nil, Group 4, incision drainage of abscess 18.3%. Conclusion: For best results we need to define a staging system consistent with varied clinical presentation of the disease resulting in a stage specific treatment approach.
Highlights
The disease is rare in female.Sacrococcygeal Pilonidal Disease is a common disease of young age reaching a peak between 16-20 years continuing to mid twenties[1]
During the period of 12 years (April 2005 to march 2017) 310 cases of sacrococcygeal pilonidal diseases were treated by the same team
Sacrococcygeal pilondal disease is common in the young age especially early twenties[2,5]
Summary
In 1880 Hodges associated it with hair (Pilus) forming a nest (nidus) resulting in unusual chronic infection of natal cleft[2]. It all starts with hair insertion in the depth of natal cleft[3]. There are several treatment options scientifically designed to meet the requirement of the particular stage of disease including the aggressive recurrent cases. At our medical centre we have treated a large number of cases in the last 12 years using different procedures we found most suitable for the stage of disease we were dealing. Objectives were to reduce complications, recurrences and put the patient back to work soon
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