Best Surgical Treatment of Pilonidal Sinus Natal Cleft?

Abstract

Objective: To assess the outcome of various surgical techniques applied for treatment of pilonidal sinus natal cleft. Study Design: Retrospective study. Place of Study: Zayed Military Hospital, Abu Dhabi, U.A.E. Period: Jan-2013 to Dec-2016. Methodology: Total cases operated 234, male 217 female 17, Surgical procedures performed, excision with primary closure, excision with marsupialization, excision with laying open and excision and closure with flaps. Age 14 to 49 years, median age 21 years, average BMI 33kg/m². Results: Average healing time14 days, 43 days 56 days and 14 days from group one to four. Wound infection 3.4 %, bleeding 5.9 %. Recurrence rate of 12.3%. Marsupialization showed zero percent wound infection, bleeding of 4.6% and recurrence of 11.6 %. Conclusion: Excision and marsupialization is easy to perform, appears to have less complications, relatively shorter healing time and almost similar recurrence. In addition higher BMI showed higher recurrence rate.