ASYMMETRIC EXCISION AND PRIMARY CLOSURE WITH A LATERALIZED WOUND FOR SACROCOCCYGEAL PILONIDAL DISEASE IS A SIMPLE AND EFFECTIVE TREATMENT | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 24, Issue 4, October 2005, Page 179-183 PDF (602.61 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2005.373109 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Waleed Omar* | ||||
| Colorectal Surgery Unit, Mansoura University Hospital, Mansoura Faculty of Medicine, Egypt | ||||
| Abstract | ||||
| Aim: this prospective study was undertaken to evaluate the results after asymmetric excision and primary closure with a lateralized wound in patients with Sacrococcygeal pilonidal sinus disease (SPSD). Methods: from February 2002 to November 2004, a total number of 40 patients with SPSD (recurrent in 9 patients) were treated by asymmetric excision and primary closure with a lateralized wound in our colorectal surgery unit. They were 32males and 8 females with a mean age 26.02 years. Patients were followed up thereafter for about 6- 31 months (mean 20.02 ± 6.49). Results: recurrence had occurred in 2(5%) patients; wound infection had occurred in 1(2.5%) patient, wound dehiscence in 2(5%) patients and subcutaneous seroma in 3 (7.5%) patients. the mean hospital stay was 6.6 ± 2.2 days and complete healing was achieved in a mean period of 15.8 days Conclusion: the asymmetric excision with a lateralized wound closure is simple and excellent option for treatment of primary or recurrent SPSD with a low recurrence rate, low morbidity, short hospital stay and good long-term results | ||||
| Keywords | ||||
| pilonidal sinus; hair insertion; Karydakis operation; a symmetric excision; primary closure | ||||
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