Pilonodal Sinus

Abstract

Objectives: Pilonidal sinus is chronic inflammatory condition that usually affectyoung adult population, despite the current medical advances in the field of medical sciences.The acceptable management of pilonidal sinus is still lacking. This study evaluates the outcomeof pilonidal sinus after excision of the whole tract then its closure with a Z plasty technique whichis a simple cleft lip repair like method which provides a quick and comfortable remedy. Design:A seven years retrospective study. Setting: Surgical Department of Peoples Medical CollegeHospital (later University) and at Private Medical Center at Nawabshah. Period: January 2010to March 2017. Methodology: A total of 55 patients suffering from pilonidal sinus were admittedat both sites from the outdoor department. All the data were collected from the admitted recordand proforma. All required investigations were done. Excision of sinus followed by Z plastyclosure were done in a single stage with drain put by separate stab on one side of the wound.Results: Out of total 55 patients 41 (74.5%) patients recovered smoothly while 6 (10%) patientsdeveloped major wound disruption, 3 (5.45%) patients developed minor wound disruption and5 (9.09%) developed wound dehiscence. Conclusion: Primary closure of pilonidal sinus with Zplasty technique is technically a simple closure method which provides a comfortable closurewith minimum results of wound disruption and dehiscence. Healing is rapid due to comfortableapproximation of the wound flaps and thus avoids the problem created in simple closuretechnique. It can be applicable with every type of patients from heavy build to thin build type.