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Year : 2014  |  Volume : 6  |  Issue : 5  |  Page : 210-214

Modified off-midline closure of pilonidal sinus disease

Department of General Surgery, Port-Fouad General Hospital, Port-Fouad, Port-Said, Egypt

Correspondence Address:
Aly Saber
Consultant Surgeon, Port-Fouad General Hospital, Port-Fouad, Port-Said
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1947-2714.132936

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Background: Numerous surgical procedures have been described for pilonidal sinus disease, but treatment failure and disease recurrence are frequent. Conventional off-midline flap closures have relatively favorable surgical outcomes, but relatively unfavorable cosmetic outcomes. Aim: The author reported outcomes of a new simplified off-midline technique for closure of the defect after complete excision of the sinus tracts. Patients and Methods: Two hundred patients of both sexes were enrolled for modified D-shaped excisions were used to include all sinuses and their ramifications, with a simplified procedure to close the defect. Results: The overall wound infection rate was 12%, (12.2% for males and 11.1% for females). Wound disruption was necessitating laying the whole wound open and management as open technique. The overall wound disruption rate was 6%, (6.1% for males and 5.5% for females) and the overall recurrence rate was 7%. Conclusion: Our simplified off-midline closure without flap appeared to be comparable to conventional off-midline closure with flap, in terms of wound infection, wound dehiscence, and recurrence. Advantages of the simplified procedure include potentially reduced surgery complexity, reduced surgery time, and improved cosmetic outcome.

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