experience with primary closure in pilonidal sinus

ABSTRACT

Variety of procedures adopted for the management of pilonidal sinus attest to the fact that the choice depends on the surgeon. The advantages of successful outcome in primary closure are obvious. This procedure is carried out under general anaesthesia, the hospital stay is minimal and postoperative care restricted to the basics. The problem with procedures carried out as day cases under local anaesthesia is the long and tedious follow-up required postoperatively till the wound heals. Of the 52 cases dealt by primary suture only one [1.92 percent] had recurrence and 2 of the initial 7 in whom suction drain was not kept required change of dressing because of soakage, prior to removal of stitches