Comparison of application of deep tension sutures after excision in pilonidal sinus and excision followed by healing through secondary intention of pilonidal sinus

Abstract

Pilonidal Sinus Disease commonly affects people in 2nd decade presenting with discharge from natal cleft. There is increased morbidity if it is not identified at the earliest and treated. In this study we present a technique of closure by primary intention by applying a new suture technique -Deep Tension Suturing to close the defect after excision of pilonidal sinus. It is a case control prospective study conducted in department of General surgery in JSS Mysuru between December 2018 to October 2020. Candidates with midline pilonidal sinus are suitable for this procedure. Here 1-0 prolene is used for applying deep tension sutures. Skin is approximated with 3-0 ethilon suture. This is done in comparison with patients undergoing excision and healing by secondary intention. Mean time taken to heal in Deep tension suturing cases is 10.25 days and the mean time taken to heal in Excision and healing by secondary intention is 18.57 days. Even the duration of hospital stay is also less in Deep tension suturing.