Evaluation of comma-shaped incision with a sacral flap in surgical treatment of pilonidal sinus

Abstract EN

Background: Pilonidal sinus disease is an infection in the subcutaneous fatty tissue, mainly in the natal cleft.

Although surgery is the best line of treatment with a favorable prognosis, recurrences and wound complications do occur in some cases.

The aim of our study is to evaluate the coma-shaped incision with sacral flap for the management of chronic pilonidal sinus.

Patients and methods: Our study is prospective.

All patients presented to the General Surgery Department, Assiut University Hospital by de novo chronic pilonidal sinus in the period from March 2017 to June 2018 were included in our study.

Comma-shaped incision with sacral flap was planned to all patients.

Data on patient demographics, operative time, blood loss, hospital stay, complications, and recurrence rate were evaluated.

Results: We included 30 patients.

They comprised 22 men and eight women with a mean age of 34 years.

The mean operative time and hospital stay were 27 min and 1 day, respectively.

Two (6.6%) patients developed superficial wound infection and two (6.6%) patients developed seroma and one (3.3%) patient developed recurrence.

Conclusion: Comma-shaped incision with sacral flap provides good results and low recurrence rate.

Further prospective studies of a larger number of patients are needed.

Keywords: pilonidal sinus disease, recurrence, surgical flaps