Publication:

Excision and primary closure of sacrococcygeal pilonidal sinus using suction drain

Background Sacrococcygeal pilonidal sinus is a debilitating condition mostly affecting hairy males. The treatment of the condition is mainly surgical. Though various surgical methods are available but each has its own limitations like prolonged healing time and recurrence. We employed a simple technique which resulted in minimal complication rate and good results.

Methods Between 2011 and 2014 we operated 40 patients for sacrococcygeal pilonidal sinus. Thirty eight patients were males and 2 females between ages of 18 to 45 years. Patients underwent excision of the sinus with primary closure of the wound over a suction drain. Patients were discharged next day along with drain. Drain was removed on 7th day and sutures removed on 14th day. Patients were followed for 6 months.

Results Mean operative time was 40 minutes. One patient has accidental removal of drain in the first postoperative day which led to subsequent wound infection and prolonged healing. Rest of the patients had an uneventful postoperative course with no wound complications, nice wound healing and no recurrences over a period of 6 months.

Conclusions The method we described is simple, less time consuming, has short hospital stay, cost-effective and has excellent results.