Management of pilonidal sinus disease: a 5 years retrospective analysis


  • Amit Kumar C. Jain Department of Surgery, St John’s medical college, Bangalore
  • Nisha Thambuchetty Department of Surgery, St John’s medical college, Bangalore



Pilonidal, Sinus, Abscess


Background:Pilonidal sinus disease is an acquired condition which is a chronic intermittent disease, seen commonly in the young people. This condition was first described in 1833 by Herbert Mayo and was termed pilonidal by Hodges in 18805 from the Latin word “pilus” which means hair and “nidus” which means nest. The aim of the study was to analyses and evaluates pilonidal sinus disease and its surgical outcome.

Methods: A cross sectional study was carried in a surgical unit 3 of department of surgery of St John’s medical college, Bangalore, which is a tertiary care teaching hospital. The study period was from Jan 2009 to Oct 2013.

Results:A total of 49 patients were included in this study. 38 patients (77.55%) were males whereas 11 patients (22.45%) were females. 48 patients (97.96%) had pilonidal sinus in the intergluteal cleft whereas one patient (2.04%) had pilonidal sinus in umbilical region14 patients (28.57%) underwent incision and drainage as the commonest procedure. 10 patients (20.41%) underwent excision with open wound and 8 patients with excision and primary closure (16.33%). Rest had undergone some form of local flap procedure. There was no mortality in this series.

Conclusions:Intergluteal cleft is commonest site where sinus occurs. The most common complication of pilonidal sinus in our series was pilonidal abscess. Limberg’s flap is the commonest flap surgery done in our series.






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