TITLE:
25 years’ experience in the management of pilonidal sinus disease
AUTHORS:
Doureid Oueidat, Alain Rizkallah, Mahmoud Dirani, Tarek Bou Assi, Ali Shams, Abdo Jurjus
KEYWORDS:
Pilonidal Sinus; Phenol Injection; Excision with Primary Closure; Excision with Packing
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.4 No.1,
January
10,
2014
ABSTRACT:
Pilonidal sinus disease is a common medical condition
that accounts for almost 15% of anal suppurations with high morbidity. Its
management is subject to many variations. In this study, a 25-year experience
from 1984 to 2009 of treating pilonidal sinus disease is being reported. A
total of 252 patients were included in the study. They were treated by phenol
injection, excision and primary closure, or excision and packing. Data showed
that excision with packing had the highest cure rate (85%), followed by
excision and primary closure (65%), and then phenol (55%). As for the healing
duration, the shortest was for excision and primary closure, followed by the
phenol injection. However, excision and packing had the least recurrence rate
(12%), compared to phenol and excision with primary closure 26.5% and 23%,
respectively. The authors recommended excision and packing. However, hospital
stay, missed days of work, recurrence rates, and the surgeon’s familiarity with
the techniques were important factors in the choice of treatment modality.