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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 24 |
October - December 2008 (Part-II) |
Number 6 |
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Pilonidal sinus: Following the
aristotelian middle!
Sheeraz Shakoor Siddiqui1, Mehmood Ahmed Khan2
ABSTRACT
Objective: Pilonidal sinus of the sacrococcygeal region is a fairly common malady. Many surgical and non-surgical methods have thus far been described with variable success rates. No standard operation is in practice, owing to discouraging rates of recurrence. A simple excision and primary repair is described with fairly good results.
Methodology: Thirty two patients with this condition were operated upon by the author between January 2003 and December 2007. A simple excision and primary repair were undertaken in all. Their retrospective data were tabulated from the respective files and analysed.
Results: Mean follow-up period was 11.7 months (range, 6-24 months). Only two patients had partial dehiscence of the suture line that responded to conservative management. There was no full-fledged recurrence in the duration of follow-up.
Conclusion: Simple excision and primary closure is a straightforward procedure with good results. A meticulous technique, including follow-up advice (hygiene, depilation etc.) can have a beneficial effect on post-operative outcomes.
KEY WORDS:
Pilonidal sinus, Simple excision, Primary repair.Pak J Med Sci October - December 2008 (Part-II) Vol. 24 No. 6 845-848
How to cite this article:
Siddiqui SS, Khan MA. Pilonidal sinus: Following the aristotelian middle! Pak J Med Sci 2008;24(6): 845-48.
1. Sheeraz Shakoor Siddiqui,
FCPS.
Assistant Professor,
2. Mehmood Ahmed Khan, FCPS.
Registrar,
1-2: Surgical Unit IV,
Civil Hospital Karachi,
Dow University of Health Sciences,
Karachi – Pakistan.
Correspondence
Sheeraz Shakoor Siddiqui, FCPS.
Res: 155/II, Main Khayaban-E-Haafiz,
DHA Phase VI,
Karachi – Pakistan.
E-Mail: drss_16@hotmail.com
* Received for Publication: May 10, 2008
* Accepted: October 7, 2008
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