Management of Pilonidal Disease in a District General Hospital: Our Experience and Review of the Literature
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 1
Abstract
Our study was a retrospective analysis of pilonidal disease management in Stafford Hospital, a District General Hospital. We analyzed 80 patients which included 44 men and 36 women who presented with pilonidal disease (sinus and abscess) either electively or in emergency. We reviewed their presentation, treatment received, hospital stay and outcome. Out of these 80 patients, 51% presented as emergency. Thirty seven patients presented with pilonidal sinus (PS) and remaining forty three with pilonidal abscess (PA). Out of 37 patients that presented with sinus, 23 patients were presented for the first time and 14 presented with recurrent sinus. In 17 out of 37 of these patients, primary closure was performed. 7 of these 17 patients developed post operative infection or discharge. Of those presenting with PA, 11 were recurrent abscesses. All these were treated with incision and drainage except three. These three had minimal infection and therefore primary closure was attempted. Two of these healed satisfactorily while the third patient did not attend for follow up. The study has shown that most patients presenting with PA were satisfactorily treated with procedure of incision and drainage. In patients with PS, laying open and primary closure had a high incidence of wound infection (42%) in our series.
Authors and Affiliations
Sanjay Dalmia, Debashish Sarkar, Sam Sangal
Keywords
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