title: A single-surgeon, single-institute experience of 59 sinotomies for sacrococcygeal pilonidal disease under local anesthesia.
abstract: BACKGROUND
  The sacrococcygeal pilonidal disease affects relatively young people, causing much nuisance and many lost working days. The ideal treatment should be simple, allowing a speedy recovery with short hospitalization while affording a permanent cure. Currently, many treatment options are available; unfortunately, none of them is ideal and each has its own recurrence rate. In this study, we wanted to emphasize the effectiveness of sinotomy in sacrococcygeal pilonidal sinus disease by single-surgeon's experience.
  
  
  METHODS
  Single-surgeon's experience of 59 pilonidal sinus patients was reviewed at single-institute between July 2005 and December 2006. 2% Prilocaine was injected for local anesthesia and sinotomy technique was performed. All patients were discharged at postoperative second hour and were followed up for a minimum 1 year.
  
  
  RESULTS
  Median age of the 59 patients was 24 (14-56) years. Forty-six (77.96%) of them were male and 13 (22.03%) of them were female. Healing completed in 1 month and almost all the patients were able to return to work the following day. We proudly have no recurrence at our mean follow up time of 16 months (range: 12-24 months). Our complication rate was 1.69%.
  
  
  CONCLUSIONS
  Sinotomy has the advantages of simplicity, the possibility to operate under local anesthesia with excellent recurrence rate of 0% (Ref. 9). Full Text (Free, PDF) www.bmj.sk.
authors.affiliation: Ankara Atatürk Teaching and Research Hospital, General Surgery Department, Ankara, Turkey.
authors.forename: Samet
authors.initials: S
authors.lastname: Yalcin
authors.forename: Emre
authors.initials: E
authors.lastname: Ergul
mesh_terms: D000293:Adolescent; D000328:Adult; D000772:Anesthesia, Local; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010864:Pilonidal Sinus / Q000601:surgery*; D012445:Sacrococcygeal Region; D055815:Young Adult