SINGLE CENTER AND SINGLE SURGEON EXPERIENCE AND THE RESULTS OF THE SURGICAL TREATMENT OF PILONIDAL SINUS

Abstract

Aim: Pilonidal sinus is a disease deriving from hair follicules in the sacrococcygeal region. The aim of this study is to evaluate the results of patients with pilonidal sinus disease who underwent primary excision by single surgeon at single center. Material and methods: Between June 2007 and June 2010, 82 patients were enrolled in this study who operated at Ergani State Hospital. The age, sex, surgical techniques, anesthesia techniques, the time to return work, and the time of wound healing, complications and recurrences data were collected retrospectively. All patients underwent primary excision and left with open wound. Results: Between June 2007 and June 2010, 82 patients underwent primary excision and left with open wound at the same center by single surgeon. Twenty-three of patients were women (28%) and 59 were men (72%), the mean age was 23.5 (1438) years. Acute, chronic and recurrent diseases were detected in 17 (20.7%), 58 (70.8%) and 7 (8.5%) patients, respectively. Mean time to return work was 7 days (1-10), 4 patients were readmitted to hospital due to bleeding. Mean time of healing was 3 weeks (2-8). Conclusion: Primary excision with open wound is the most commonly used surgical technique in pilonidal sinus disease. It is contraversal which technique was the best in pilonidal sinus. As a result of the author experience, primary excision is safe and has the low recurrence risk.