Comparative study of different surgical modalities for treatment of sacrococcygeal pilonidal sinus

Abstract EN

Background: pilonidal sinus disease of the natal cleft is a painful debilitating condition which often recurs despite different surgical procedures.

In this thesis, the outcome of different methods for treatment of this disease are described and compared.

Methods : A review of sixty patients were randomized into three groups.

Group A were operated upon by sinus excision and leaving the resultant cavity to heal by granulation tissue.

Group B were operated by excision with primary closure in natal cleft.

Group C were operated by excision with oblique closure by z-plasty. Results: Recurrence was highest in group B (25%) followed by group A (15%) and no recurrence occurred in group C.

The mean satisfaction grading was 5.2 in group A, 7.1 in group B and 9.3 in group c. Conclusion: Excision of pilonidal sinus and oblique closure by z-plasty offers improved patient satisfaction and no recurrence rate.