Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd (Apr 2004)
Introduction of a Semi-Closure Surgery Technique for Treatment of Sacral Pilonidal Sinus
Abstract
Introduction : Pilonidal cysts occur predominantly in males. The lesion usually manifests itself clinically near the end of the second decade of life. The patients are often hirsute and frequently unaware of the presence of the sinus.Clinically, the lesion is asymptomatic until it becomes infected. The diagnosis is made on the basis of one or more small openings in the midline over the sacrococcygeal region approximately 3.5 to 5 cm posterior to the anal orifice. Infection may occur because of its proximity to the anal region. The symptoms of an abscess are classic. Trauma preceding the onset of symptoms has been reported. As this disease is seen in the young and active population and has a high prevalence, need for a surgical operation with decreased complications& duration of admission leading to faster return of the patient to daily life activities is felt. Methods& materials :In this sinple blind randomized clinical trial study, 60 young patients ( mean age of 21.9+/-3.09 years) who refered to the surgical clinics of Baqiyatallah hospital and diagnosed as having pilonidal cysts requiring treatment were divided into two groups of 30 cases each, wherein Group One patients were operated upon using this new semi-closure technique and Group Two patients were operated upon using the classic open method. The patients were followed up till complete treatment and results were compared. Results :The effectiveness and advantages of semi closed method over the open method (p< 0.05) was observed.( post operative pain & bleeding , wound healing , change of dressing,time period of return to work and complete treatment). Conclusion : It is concluded that the semi closure excision method is better than the open method in all aspects for the treatment of pilonidal sinus.
