PILONIDAL SINUS

PREVALENCE AND COMPARISON OF EXCISION AND PRIMARY CLOSURE WITH LAY OPEN PROCEDURES

Abstract

O b j e c t i v e s : To study the prevalence of pilonidal sinus and compare the outcome of the excision and primary closure with
lay open surgical procedures. D e s i g n : Prospective randomized comparative study. Setting: Department of surgery, Bahawal Victoria
Hospital Bahawalpur. P e r i o d : From 1s t December 2002 to 30th November 2007.Materials a n d M e t h o d s : A total of 40 patients with pilonidal
sinus were randomized into two groups. Group I underwent excision and primary closure while Group II underwent excision and lay open
procedure. Results: Patients of Group I & II had comparable mean operation time of 42.7 minutes. Group I patients had a shorter mean
hospital stay of 4.87 days, earlier return to light work after 13.21 days, less treatment expenses and low rate of postoperative complications
and good patient satisfaction. C o n c l u s i o n : We conclude that primary closure after excision of pilonidal sinus is superior surgical procedure
than excision and laying it open