Retrospective Analysis of Surgical Management of Pilonidal Sinus Diseases among Patients Visited in Tertiary Health Care Centre

ABSTRACT

Background: Pilonidal sinus disease (PSD) is an acquired chronic disorder located in the natal cleft, with its etiology based on the presence of hair follicles in the gluteal crease. The objectives for treating PS disease are minimal tissue loss, minimal postoperative morbidity, rapid return to daily activities and work, acceptable cosmetic results, minimal recurrence rate, and low cost. Aim of the study To retrospective analyze surgical management of pilonidal sinus disease among patients visited in tertiary healthcare center. Methods: The study was conducted in the Department of General Surgery, Mahatma Gandhi Hospital Bhilwara, Rajasthan, India. For the study we analyzed the records of 50 patients treated at the Surgical Department. Postoperative follow-up of all patients were done. The surgical treatment options, complication rates, hospitalization, and work-off periods were analyzed. Results: A total of 50 patients were included in the study.Marsupialization was done in 23 patients, unroofing done in 8 patients, primary closure in 7 patients and Limberg flap transposition in 12 patients. Table 1 shows mean hospitalization periods and mean work off day period in different surgical procedures. Maximum mean hospitalization period was seen with Limberg flap transposition (4.12 days) followed by Unroofing (3.02). Conclusion: Physicians treating pilonidal disease should have adequate knowledge of the advantages and disadvantages of the different surgical techniques. Preoperative decision making should be based on the patient’s expectations, and cooperation with the patient about possible postoperative complications, and outcomes.