Study of pilonidal sinus treated with subcutaneous rotation flap: Case series of 34 cases
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 11
Abstract
Pilonidal sinus disease is an acquired relatively common condition and usually affects young, healthy and hairy males. Basically non-surgical treatment for this disease is not recommended. Present study describes the results of elliptical excision of Pilonidal sinus and rotation flap procedure as a surgical treatment option for Pilonidal sinus disease in a series of 34 cases. It is a cross sectional study. 34 patients who had been operated for primary or recurrent Pilonidal sinus disease using the elliptical excision of Pilonidal sinus and rotation flap procedure were included in the study. Informed consent was taken from each of the participant. The study participants were asked about their complaints and also regarding their satisfaction with the surgical treatment procedure. Physical examination of each of the patient was done and the hospital records were analyzed. The mean age of the patients was 25.14 ± 7.6 years. Minimal flap necrosis was reported in two patients. Wound infection occurred in two patients. Two patients developed Seroma which had negative bacterial cultures; two study participants had partial wound dehiscence, while one study participant had purulent discharge. Mean duration of hospital stay was found to be 4.2 days whereas mean time for return to normal activity was observed to be eight days. Three patients had recurrence. All of the patients were satisfied with the final result except those with recurrence of the condition. To conclude, we found that elliptical excision of Pilonidal sinus and rotation flap procedure as a surgical treatment option for Pilonidal sinus disease was satisfactory with a low complication rate, short duration of hospitalization and also short time to return to normal activity.
Authors and Affiliations
Madhura M Killedar, A A Shivani
Keywords
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