Recurrence-free primary closure operative technique for pilonidal sinus

Abstract

Pilonidal sinus is prone to have recurrence after surgery. This study is aimed to reduce the chances of post-operative recurrence, hospital stay and postoperative healing time. Patients of pilonidal sinus were admitted in various hospitals of Gurgaon, Haryana between January 2001 to December 2018. Informative consent taken from every patient. No case of recurrence was reported. Twelve patients (7.14%) developed post-operative wound infection. One patient (0.59%) had gaping of wound after removal of sutures. Average hospital stay was one day. Patients were called on 3rd post operative day in OPD to change dressing, remove the drain and review the wound and again on 10th post operative day for removal of skin sutures and on 14th post operative day for removal of tension sutures. Our technique of recurrence-free primary closure for pilonidal sinus is easy, simple, recurrence free and with short learning curve.