Management of Pilonidal Sinus | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 23, Issue 1, March 2010, Pages 45-49 | ||
| Author | ||
| Jasem Abed Al-Bedri | ||
| Abstract | ||
| Background:- A Pilonidal sinus (PNS) occurs in the cleavage between the buttocks (natal cleft) and can cause discomfort, embarrassment and absence from work for thousands of young people (mostly men) annually. Objectives:-Assessment of our experience was done with the comparison between methods of treatment of the pilonidal sinus and other studies. Patients & Methods:-A retrospective study over 10 years from Jan. 1997 to Dec. 2007 one hundred eighty four patients with pilonidal sinus had been operated by the author. Analysis according to the age, sex, type of presentation, treatment and morbidity with each type compared with other studies. Results:-Group A; one hundred thirty three male patients, Mean time of healing (M.T.O.H.) 48 days, delayed healing time (more than two months) (6.7%). Recurrence rate 5.3% .Twenty three female patients, M.T.O.H. 45 days, delayed healing time (8.7%) and recurrence rate (4.35 %).Group B; sixteen male patients, M.T.O.H. 51 days, delayed healing time (12.5%) and recurrence rate (6.25%). four female patients M.T.O.H. 49 days, delayed healing time (25%) and recurrence rate zero. Group C; five male patients, recurrence rate 100%. All needed surgery. Three female patients, recurrence rate 67% needed surgery, one patient 33% missed during follow up. Conclusion:- Excision and healing by granulation tissue has low recurrence rate, long healing time, long absence of the work, and more nursing. Key words: - pilonidal sinus , management, acute, chronic. | ||
| Keywords | ||
| pilonidal sinus; Management; acute; chronic | ||
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