Modified open method [limited excision] for the treatment of pilonidal sinus

ABSTRACT

This study was done on 23 patients with pilonidal sinus disease [20 males and 3 females], with an age ranged between 16-35 years. Proper preoperative cleaning of the sinus track by a special fine brush had assessed much in proper delineation of the sinus track, any side tracks and the wall of the sac by the use of methylene blue dye, and this had assessed much the main objective of limiting the amount of excised soft tissues, that include all sinus track and the wall of the sac, thus shorten the time needed for proper healing, together with minimizing the incidence of recurrence. All patients had left the hospital 4 days after the operation. The discharge was markedly reduced within a week after the operation. Complete healing of the wound was established in 17 patients [74 percent] within 4-6 weeks, and in 3 patients [13 percent] within 7-8 weeks, and in the remaining 3 [13 percent] within 10-12 weeks. Recurrence had observed in one patient [4.3 percent]. Hygienic instructions, with depilation of hair from the region is considered as an important item to guard against recurrence, or formation of a new sinus