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Excision with Primary Closure and Suction Drainage for Pilonidal Sinus in Adolescent Patients | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 8, Issue 3, 2009, Pages 228-231 PDF (0 K) | ||
| Author | ||
| Ibtesam Khalid Salih Al-Shadydy | ||
| Abstract | ||
| ABSTRACT: BACKGROUND : Controversy persist regarding the treatment of pilonidal sinus. Sacrococcygeal pilonidal disease is a common chronic disorder of the natal cleft that is often considered a minor problem, but may cause substantial in convenience and local infection. Therefore, adequate treatment of a pilonidal sinus is important in order to improve the quality of life of affected patients. OBJECTIVE: To evaluate the technique of excision with primary suture and suction drainage (PSD) for the treatment of pilonidal sinus in adolescent patients. METHODS: Between 1996 and 2005, forty patients aged 14-19 years (are range 16.4) underwent PS excision with primary closure and suction drainage. Anesthesia was general in 18 (45%) and spinal in 22 (55%). Prophylactic cephalosporine was used is I.V antibiotic. Excision of the sinus done down to the social fascia. Closed continuous suction drain was used. RESULT: No complications due to the anesthesia were observed. Twenty five patients (62.5%) had day case surgery, while the others fifteen patients, (37.5%) were hospitalized for 2-4 days (average 2.3 days). The drain was removed on post operative day 3-6 days (average 3.2 days) primary healing with no postoperative complications occurred in 36 patients (90%). Postoperative infections requiring incision , drainage, and lay-open occurred in 3 cases (7.5%). No recurrence was found at 12-months follow-up. One recurrence (2.5%) was noted 2 years after surgery. CONCLUSION: Excision with primary closure and closed-suction drainage as an ambulatory procedure is thus a simple and effective method of treatment of uncomplicated PS in adolescents | ||
| Keywords | ||
| pilonidal sinus; Adolescent; primary closure; drainage | ||
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