| ORIGINAL ARTICLE |
|
| Year : 2014 | Volume
: 6
| Issue : 5 | Page : 210-214 |
|
|
Modified off-midline closure of pilonidal sinus disease
Aly Saber
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
Egypt
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1947-2714.132936
|
|
|
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. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
