Acute Pilonidal Abscess

ABSTRACT

The classical treatment for acute pilonidal abscess was incision and drainage followed after that by definitive surgery which was then planned electively. However, recent literature reported encouraging results following definitive surgical treatment of acute pilonidal abscess obviating the need for a second surgical procedure. In this work, the policy of definitive surgery was adopted from the start in 14 patients presented with acute pilonidal abscess where the abscess was drained, followed by excision of the midline pits and the septic granulation tissue surrounding the abscess cavity and the midline pits so as to leave a clean cavity in its walls and floor. The results were very satisfactory. Sound healing took about four- six weeks in thirteen cases with only one case with delayed healing about two months. The follow up period extended from six months to two years with only one recurrence