A Comparative Study of Various Surgical Methods for Sacrococcygeal Pilonidal Disease at a Tertiary Care Hospital in India

ABSTRACT

Introduction: Pilonidal sinus disease is a very common anorectal problem without a clinical consensus on its optimalmanagement.Objective: The objective of this study was to compare the surgical methods used in our hospital and determine the outcomesin relation to hospitalization time, healing, post-operative complications and recurrence.Materials and Methods: All patients with pilonidal sinus disease that was treated surgically at our hospital between January2014 and March 2018 were considered.Results: A total of 74 patients of whom 57 were male and 17 females. 12 were treated with simple excision, 25 with simpleexcision and closure, 26 with Limberg’s flap, and 11 with Karydakis flap. Duration of surgery and duration of hospital stay weresignificantly larger for the flap procedures. Complications such as infection (11.5%) and seroma (24.5%) were common with flapprocedures. Recurrence was common with simple excision with or without closure (82%) compared to flap procedures (24.5%).Conclusion: The two flap techniques show no difference among each other.