Ideal treatment for chronic pilonidal sinus

ABSTRACT

A hospital-based study was carried out from January 2001 to August 2002 to compare the results of Open excision operation and Karydakis technique for the treatment of pilonidal sinus. In Group A, 23 patients underwent Open excision operation, while in Group B, 22 patients were treated by Karydakis operation. In Group A, the mean hospital stay was 6.74 days, mean healing time and mean period off work were 7.9 weeks and 6.98 weeks respectively. The most common complications after this procedure were sepsis [17.39%] and scar pain [17.39%]. Recurrence occurred in 04 cases [17.39%]. The overall complication rate in this group was 21.74%. On the other hand, in Group B, the mean hospital stay was 3.23 days while, mean period of recovery and mean period off work were 2.95 weeks and 2.68 weeks respectively. Most common postoperative complications were sepsis [13.63%] and wound dehiscence [13.63%], the overall complication rate being 13.64%. Early recurrence occurred in 01 case only [4.5%]. From our study, it is concluded Karydakis technique is superior to Open excision operation in terms of shorter hospital stay and early recovery. Moreover, it is cost-effective procedure with low postoperative morbidity and recurrence rate