A comparative study of different treatment outcomes in cases of pilonidal disease

Abstract

Background: Pilonidal sinus (PS) is a common disease of the natal cleft in the sacrococcygeal region with weak hair accumulation occurring in the hair follicles, which can be chronic and undergo acute exacerbation. The incidence of PS is approximately 26/100,000; it is a benign disease that commonly occurs in young men. Aim: The objective of this study is to have a comparative study of different treatment outcome in case of Pilonidal disease been treated at Pacific Medical College and Hospital, Udaipur from January 2018 to January 2020. Materials and Methods: A prospective study of Pilonidal disease management was carried in a medical college between Jan 2018 and Jan 2020. A total 90 cases of Pilonidal disease were selected for the study. Information on clinical presentation and management were compared. Results: The mean time for complete healing of the wound after rhomboid excision and Limberg flap was 20±8days. The median VAS pain score was significantly lower in the group B (p0.001). One recurrence occurred in the patient during the follow-up period in group B; group A and C had recurrence of 5 and 3 respectively. When patient satisfaction was compared, the primary closure group received 2.5± 0.5 points and B group received 3.3±0.44; the patients in the open group received 2.8± 0.14. Conclusion: We conclude that Rhomboid excision and Limberg flap closure is preferable to simple excision and excision with primary closure in the treatment for sacrococcygeal pilonidal disease.