A STUDY ON THE OUTCOME OF CONSERVATIVE RESECTION IN PILONIDAL SINUS

Pilonidal sinus is a common disease with risk of infection in young adults, which occurs in the natal cleft and is common in hairy and fatty males. Treatment often requires surgical intervention. Current surgical method entails wide tissue excision that causes various morbidities such as long time rest. This study was conducted prospectively on 35 patients (test group) who were treated with the conservative surgical resection in Ahwaz Imam Khomeini Hospital in 1374-1375. The results were compared with 24 patients who were used as control group and treated with conventional wide resection method. Eighteen patients from the test group and fourteen patients from the control group were followed-up for 20 ± 4 months. Both groups were nearly similar for age, sex, occupation and body types (hairy, fatty). The results revealed that the mean hospitalization time for control group was 2 day, this was 1.27 days for the conservative group. Furthermore, need for resting and administration of analgesics were significantly different between the groups (P<0.0). Need for resting was 12.5 days in the control group which was significantly lower in the in the conservative group of 8.33 days. Analgesics were required for two days in the control group compared to one day in the conservative group. Wound infection was 11% in the conservative group compared to 14 % in the control group, and recurrence was 5% in test group and none in the in control group. Patient’s satisfaction in relation to scar formation was 88% and in the control group and 85% in test group. In conclusion, it seems that the conservative resection method for pilonidal sinus is a suitable method that results in less hospitalization time, decreased postoperative pain, and decreased resting time, but without any obvious difference in scar and cosmetic change at the site of operation.