LIMITED EXCISION AND PRIMARY CLOSURE FOR PILONIDAL SINUS

Aim: Pilonidal disease is a common disorder of the sacrococcygeal region. Various techniques have been used but no method provides the ideal treatment This study was done to establish to what degree pilonidal sinus could be treated with limited excision and primary closure. Methods: 39 patients with chronic pilonidal sinus were treated by limited excision and primary closure between July 2005 and January 2008 by the authors at general surgery department Mansoura University Hospital. They were followed up in the early postoperative period and thereafter for 12 to 30 months. Results: One patient had mild seroma, another one developed irregular scar with accepted healing outcome. All patients were discharged from hospital in the 2nd postoperative day . Operative wounds healed in a period ranged from 12-22 days. The postoperative follow-up now ranges from 12 to 30months, and no recurrences have been recorded so far. Conclusion: Limited excision of Pilonidal Sinus represents a good therapeutic option for treatment of pilonidal sinus This method has the advantages of having a low morbidity, short hospital stay, early return to work ,no recurrence and good long-term results