Muhammad Israr, Waseem Yar, Niamat Ullah, Mukhtiar Ali, Saeeda.
Outcome of excision and primary closure of pilonidal sinus disease.
Pak J Surg Jan ;29(4):285-8.

Objective. Th e objective of this study was to know the outcome of excision and primary closure of pilonidal sinus disease. Design: Prospective study. Sett ing and duration: Th is study was conducted in Surgical unit of Mardan medical complex from march 2009 to September 2011. Methodology: Seventy fi ve patients were selected for excision and primary closure. Patients with acute pilonidal sinus abscesses and those with recurrent pilonidal sinus disease were excluded from the study. All patients were operated under general anaesthesia in prone pssition. Methylene blue dye were injected to outline the sinus tract. Post operative results complication and recurrence were documented. Follow up of all patients was performed every month for three month in outpatient department and then aft er every three month for one year. Results. Seventy fi ve patients fulfi lling the selection criteria were operated from March 2009 to September 2011.Out of 75 patients 69 were males and 6 were females with the mean age of 34 years. Post operative hospital stay was about 6 days and mean time to return to work was three weeks. Out of 75 patients 9 (12%)had wound infection and out of these nine 3 has minor wound infection. Four patients (5.33%) had seroma formations which were aspirated. Only 5 patients had recurrence which represents an overall recurrence rate of 6.6 %. Conclusion. Excision and primary closure of pilonidal sinus disease is associated with short hospital stay, early wound healing, rapid return to work and decrease chances of recurrence.

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