Résumé
Objective: to compare the two different surgical techniques for the treatment of pilonidal sinus primary closure and open technique in respect of hospital stay, duration of healing time and rate of recurrence
Material and Methods: this prospective randomized study was conducted in the Department of Surgery, Fatima Memorial Hospital, and Lahore from January 2003 to December 2008. A total number of 42 cases of chronic pilonidal sinus, all belonging to Pakistani nationality were identified and divided in two groups randomly. Patients in Group A were treated by excision and primary mid line closure of the defect while in Group B the wounds were left open. After excision to be healed by granulation. Four patients were lost at follow up. The remaining 38 cases, 32 males and 6 females, were finally analyzed. Mean follow up period was 2.5 years
Results: the mean hospital stay was 5.5 days in group A while 8.2 in groups B [p=0:025and. The mean healing time was much shorter in group A than group B which is statistically significant [p=0.001and. Complications in both groups were comparable
Conclusion: excision with primary closure of the defect has less morbidity and is a cost effective way of treating chronic pilonidal sinus