Pilonidal disease : excision and primary closure

Abstract EN

Background / Aim : there is no disagreement that the treatment of pilonidal disease is surgical with complete excision of the whole pilonidal sinus but controversy remains about what to do with wound after excision Several techniques have been proposed.

All of than try to reduce morbidity, offer fast healing have a low recurrence rate and high cure rate, minimal hospital stay, minimal inconvenience and early return to work become mordant considerations.

This study was undertaken to evaluate the treatment of pilonidal sinus with excision and primary douser.

Patients & Methods : Sixty two patients, 59 males are 3 females were mimed by excision and primary closure results Tie average hospital stay was 5 days Two patients developed recurrence (3.2 %).

The mean follow up period was 6 months with a range of 3-18 months.

Conclusion : Edison and primary closure is a cost effective way of treatment for chronic pilonidal disease with low recurrence.

Patient compliance is very important.

This treatment should be based on patient preference and socio-environmental habitat.