A study of surgical management of pilonidal sinus

Abstract

35 cases of pilonidal sinus were studied in Osmania General Hospital, Hyderabad from June 2011 to October 2013. The age and sex distribution of the disease, predisposing factors and various surgical procedures were studied. The incidence was highest between 21-30 years of age, auto drivers and students. Male: Female ratio was 2.18: 1. The commonest site was sacrococcygeal region and commonly seen in hairy individuals. The commonest symptoms were pain and discharge. All the patients were treated surgically. 20 cases were treated by excision and lay open, 15 cases were treated with excision and primary closure (z-plasty-12 cases and Limberg flap-3 cases). There was no recurrence in the present study. Excision and primary closure yielded better results when compared to excision and lay open surgical technique.