Efficacy of Excision with Tension-free Primary Closure for Sacrococcygeal Pilonidal Sinus: A single-center tertiary care experience

Abstract

Objective: This study aims to evaluate the outcomes of simple excision and tension-free primary closure for
sacrococcygeal pilonidal sinus.
Method: All the consecutive patients who underwent excision and primary closure for sacrococcygeal
pilonidal sinus from February 2019 to May 2020 at Shaikh Zayed Hospital Lahore were studied
retrospectively. Patients' demographics, operative details, postoperative complications, and recurrence were
recorded and analyzed.
Results: A total of 50 patients (47 males and 3 females) were included in this study. The mean age and
average BMI of the patients were 27.5 ± 6.36 years and 27.2 ± 1.76 kg/m2, respectively. VAS scores for
postoperative pain were 6 ± 2.16, 2.5 ± 2.12, and 1.5 ± 0.70 on the 1st, 5th, and 10th postoperative days. Only
4 (8%) patients developed postoperative complications and the rest of the 46 (92%) patients recovered
uneventfully. The overall success rate of excision with tension-free primary closure for PSD was 92%.
Conclusions: Complete excision with tension-free primary closure is a less invasive operative procedure for
uncomplicated pilonidal sinus. It is associated with a higher rate of successful recovery, shorter hospital
stays, and a low incidence of postoperative complications. Hence, the authors advocate this method as a
preferred surgical option for the management of non-complex sacrococcygeal pilonidal sinus.

How to cite: Fatima J, Anwar MI, Rafique MA, Janjua MH, Rana MSM, Tariq H. Efficacy of Excision with Tension-free Primary
Closure for Sacrococcygeal Pilonidal Sinus: A single-center tertiary care experience . Esculapio - JSIMS 2022;18(02):143-147
DOI: https://doi.org/10.51273/esc22.251828