Different Surgical Approaches for Pilonidal Sinus – Our Experience in a Peripherally Located Tertiary Care Hospital
Introduction: Pilonidal disease in sacrococcygeal or intergluteal region is an acquired chronic inflammatory disorder with superimposed infection. It is commonly seen in young hairy individuals and usually presents as an abscess or a painful sinus tract in the natal deft with sero/purulent discharge...
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| Format: | Article |
| Language: | English |
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ADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCES
2021-07-01
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| Series: | Journal of Medical Sciences and Health |
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| Online Access: | http://jmsh.ac.in/index.php?option=com_k2&view=item&id=182 |
| _version_ | 1818956838014550016 |
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| author | Sachin Murukanahalli Basavaraju K Sachin Hanumantha Basappa Vaggara |
| author_facet | Sachin Murukanahalli Basavaraju K Sachin Hanumantha Basappa Vaggara |
| author_sort | Sachin Murukanahalli Basavaraju |
| collection | DOAJ |
| description | Introduction: Pilonidal disease in sacrococcygeal or intergluteal region is an acquired chronic inflammatory disorder with superimposed infection. It is commonly seen in young hairy individuals and usually presents as an abscess or a painful sinus tract in the natal deft with sero/purulent discharge.
Aims and Objectives : The objectives of the study were to assess and compare different surgical techniques in the management of pilonidal sinus disease.
Materials and Methods This retrospective study was conducted in the Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya (D), from August 2018 to January 2020.
Results During the study period, 30 patients were enrolled, 22 patients were male and 8 were female, with a mean age of 24.3 years. The mean operative time for primary closure was 61 min and flap reconstructions were 70 min with mean hospital stay of 8 and 6 days, respectively. The mean time to walk without pain is 30 and 12 days, respectively. Wound dehiscence was noted in a patient with primary closure. No recurrence was noted for a mean follow-up period of 6 months in any patients.
Conclusions: Flap reconstructions were superior to primary closure after excision of pilonidal sinus and that modified Limberg flap was superior with regard to wound infection and recurrence for pilonidal disease. |
| first_indexed | 2024-12-20T11:00:19Z |
| format | Article |
| id | doaj.art-5a6ae9e3b07648a19f4db2a8a2b645cd |
| institution | Directory Open Access Journal |
| issn | 2394-9481 2394-949X |
| language | English |
| last_indexed | 2024-12-20T11:00:19Z |
| publishDate | 2021-07-01 |
| publisher | ADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCES |
| record_format | Article |
| series | Journal of Medical Sciences and Health |
| spelling | doaj.art-5a6ae9e3b07648a19f4db2a8a2b645cd2022-12-21T19:43:02ZengADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCESJournal of Medical Sciences and Health2394-94812394-949X2021-07-01715255https://doi.org/10.46347/jmsh.2021.v07i01.009Different Surgical Approaches for Pilonidal Sinus – Our Experience in a Peripherally Located Tertiary Care HospitalSachin Murukanahalli Basavaraju0K Sachin1Hanumantha Basappa Vaggara2Assistant Professor, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, Mandya, Karnataka, India,Assistant Professor, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, Mandya, Karnataka, India,Post Graduate, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, Mandya, Karnataka, IndiaIntroduction: Pilonidal disease in sacrococcygeal or intergluteal region is an acquired chronic inflammatory disorder with superimposed infection. It is commonly seen in young hairy individuals and usually presents as an abscess or a painful sinus tract in the natal deft with sero/purulent discharge. Aims and Objectives : The objectives of the study were to assess and compare different surgical techniques in the management of pilonidal sinus disease. Materials and Methods This retrospective study was conducted in the Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya (D), from August 2018 to January 2020. Results During the study period, 30 patients were enrolled, 22 patients were male and 8 were female, with a mean age of 24.3 years. The mean operative time for primary closure was 61 min and flap reconstructions were 70 min with mean hospital stay of 8 and 6 days, respectively. The mean time to walk without pain is 30 and 12 days, respectively. Wound dehiscence was noted in a patient with primary closure. No recurrence was noted for a mean follow-up period of 6 months in any patients. Conclusions: Flap reconstructions were superior to primary closure after excision of pilonidal sinus and that modified Limberg flap was superior with regard to wound infection and recurrence for pilonidal disease.http://jmsh.ac.in/index.php?option=com_k2&view=item&id=182jeep diseasenatal cleftpilonidal sinussacrococcygeal region. |
| spellingShingle | Sachin Murukanahalli Basavaraju K Sachin Hanumantha Basappa Vaggara Different Surgical Approaches for Pilonidal Sinus – Our Experience in a Peripherally Located Tertiary Care Hospital Journal of Medical Sciences and Health jeep disease natal cleft pilonidal sinus sacrococcygeal region. |
| title | Different Surgical Approaches for Pilonidal Sinus – Our Experience in a Peripherally Located Tertiary Care Hospital |
| title_full | Different Surgical Approaches for Pilonidal Sinus – Our Experience in a Peripherally Located Tertiary Care Hospital |
| title_fullStr | Different Surgical Approaches for Pilonidal Sinus – Our Experience in a Peripherally Located Tertiary Care Hospital |
| title_full_unstemmed | Different Surgical Approaches for Pilonidal Sinus – Our Experience in a Peripherally Located Tertiary Care Hospital |
| title_short | Different Surgical Approaches for Pilonidal Sinus – Our Experience in a Peripherally Located Tertiary Care Hospital |
| title_sort | different surgical approaches for pilonidal sinus our experience in a peripherally located tertiary care hospital |
| topic | jeep disease natal cleft pilonidal sinus sacrococcygeal region. |
| url | http://jmsh.ac.in/index.php?option=com_k2&view=item&id=182 |
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