ABSTRACT
Introduction: Pilonidal sinus is a common condition usually seen in young adult. Although several methods have been described all have been associated with high recurrence rate. This study is a prospective randomized trial comparing MUTAF technique with Limberg flap reconstruction in the management of chronic pilonidal sinus. Materials and methods: This prospective study was conducted in Department of General Surgery in Al Azhar Medical College, from June 2018 to June 2019 who were treated for chronic pilonidal sinus by comparing MUTAF technique with Limberg flap technique. Results: A total of 60 patients were included in our study. They were randomly divided into two groups. The demographic data: mean age and sex ratio were not statistically different when compared between two groups. Duration of symptoms in both the groups was 18 months. Mean follow up duration was almost 12 to 18 months in both groups. Mean operative time was less in group 1 with 34.5 +/-14.7 and 46.3 +/- 10.3 in group 2. When length of hospital stay compared there was significant difference between the groups (p < 0.001). Mean hospital stay time was more in group 2 (3.8+/- 1.6) than group 1 (2.1+/-1.2). Between the groups there was no significant difference in recurrence rate. In our study we had no recurrence in both groups. Most common complication was seroma (group 1 =02, group 2 =03) and wound infection (group = 01, group 2 = 03). The seroma patient was treated with wound aspiration without wound open. One patient had wound dehiscence in group 2 and was treated with local wound care and improved in a month. Manjunath H R, Reny Jayaprakas, Anjali Nair. A prospective randomized trial comparing MUTAF technique with Limberg flap technique in surgical treatment of chronic pilonidal sinus. IAIM, 2019; 6(8): 41-46. Page 42 Conclusion: MUTAF technique can be a good alternative for the treatment of chronic pilonidal sinus because of excellent surgical outcome. In Mutaf technique due to double flap there is less flap tension reduced postoperative pain and early return to work. In both Flap techniques natal cleft is flattened and displace the incision scar from midline resulting in low recurrence.