Limited subcatenous secondary sinuses excision in complex pilonidal sinus disease.

Algazar, Mohammed; Negm, Mohamed; Elalfy, Tamer Rushdy

doi:10.21608/zumj.2021.58014.2084

Limited subcatenous secondary sinuses excision in complex pilonidal sinus disease.

Document Type : Original Article

Authors

¹ general surgery department faculty of medicine zagazig university

² Lecturer of General Surgery Faculty of Medicine, Zagazig University, Egypt

³ Lecturer general surgery zagazig university

10.21608/zumj.2021.58014.2084

Abstract

Introduction Pilonidal sinus disease (PSD) is a simple chronic inflammatory condition . Many surgical procedures used to treat pilonidal disease. In this study we represent a case series for treating complex PSD by Subcutaneous Sinusectomy and cystectomy.
Patients and methods:
Thirty five patients with complex PSD according Tezel classification were enrolled in the study. Marking of eccentric openings then an elliptical incision was done 1 cm from midline with 0.5 cm depth , all cases has a lateral remote openings from the midline we start dissection around the opening itself by a narrow ellipse then the side tracks palpated and we started subcutaneous dissection of the track then randveau dissection from the main midline wound to meet each other to extract the side track as one peace with main cyst.
Results
he studied group was 35 patients , 28 (80%) were males , 7 (20%) were females the mean age was 26±5.44 years with range 18-43 years. The mean operative time was 25.71 ±5.21 minutes with range 20-45 minutes, while the hospital stay was 28±5.32 hours with range 24-36 hours Recurrence occurred in 2 patients 5.71%. Primary non healing was the most common complication 5.71% .
Conclusion:
Subcutaneous Sinusectomy and cystectomy is a feasible and accepted option for management of complex PSD with a fair recurrence rate, short hospital stay and early return to work.

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