Volume : X, Issue : VIII, August - 2020

Double Z plasty technique for closure of Pilonidal sinus defects : our experience

Reetesh Kumar Pathak, Km Garg

Abstract :

Principles of surgery of pilonidal sinus treatment require eradication of sinus tract, complete healing and prevention of recurrence. Although several surgical techniques have been described over the years, the management remains controversial. Aim of present study is to assess results of double Z– plasty in terms of hospital stay, recovery time, complications and recurrence rate. This prospective study conducted on 18 patients of pilonidal sinus disease, operated by double Z plasty, at surgical department of JNUIMSRC, Jaipur. The size of defect ranged between 3.25cm and 7.5cm. sinus was removed in an unblock manner with overlying skin. Closure of wound done in three layers–two layers of subcutaneous tissue by absorbable polyglactin suture and skin by nonabsorbable nylon sutures. Hospital stay range from 4 to 5 days. The mean time before returning to work was 14 days (10–20 days ) In all patients, a successful tension free and durable closure of the defect was obtained with reduction of depth of the natal cleft. All patients healed uneventfully, except for two patients (11.1%) who had superficial flap skin tip necrosis, healed with regular dressing of area. . A mean follow–up of 6 months revealed superior aesthetic results with fine scars in all patients without any recurrence.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

DOUBLE Z PLASTY TECHNIQUE FOR CLOSURE OF PILONIDAL SINUS DEFECTS : OUR EXPERIENCE, REETESH KUMAR PATHAK, KM GARG INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-8 | August-2020

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