Minimal Invasive Sinusectomy Technique and Comparison with Other Surgical Procedures in Patients with Sacrococcygeal Pilonidal Sinus Disease: Single-Center Experience

Ozturk S; Y?ld?r?m H; Unver M; Ozsan I; Kibar Ozturk B

Volume : VII, Issue : V, May - 2018

Minimal Invasive Sinusectomy Technique and Comparison with Other Surgical Procedures in Patients with Sacrococcygeal Pilonidal Sinus Disease: Single-Center Experience

Ozturk S, Y Ld R M H, Unver M, Ozsan I, Kibar Ozturk B

Abstract :

Introduction: The purpose of this study was to evaluate patients with sacrococcygeal pilonidal sinus disease who underwent flep , primary closure and minimally invasive sinusectomy at our centre with reference to the perioperative findings, early and late postoperative results and recurrence.

Material and Methods: A total of 143 patients who underwent sacrococcygeal pilonidal sinus surgery from november 2011 to june 2013 were evaluated in terms of demographics, type of disease (primary or recurrent), hypoesthesia at the operative site, sense of tension and pain during daily activities, suture removal, satisfaction with the cosmetic results, and recurrence rate.

Results: A total of 106 of the 143 patients were male and 37 were female. The mean age of female patients was 24, whereas it was 27 for male patients. For those 143 patients, 72 of the patients were treated with Limberg flep reconstruction. The other 56 patients underwent Minimally–invasive sinusectomy operation, and 15 patients underwent excision plus primary closure. The recurrance rates were 3 cases for excision plus Limberg flap reconstruction group, one case for minimally–invasive sinusectomy group and 2 cases for excision plus primary closure group.

Conclusion: For surgical treatment of sacrococcygeal pilonidal sinus disease, minimally invasive sinusectomy should be the first treatment option which has similar recurrence rate and early recovery period compå with other techniques.