Ambulatory treatment of chronic pilonidal sinuses with lateral incision and primary suture.
BACKGROUND
Outpatient management is appropriate for chronic pilonidal sinuses. Even though there are different surgical treatments for pilonidal sinuses, the outcome may not be uniformly satisfactory. The aim of this paper was to examine the ambulatory treatment of chronic pilonidal sinuses with lateral incision and primary suture.


METHODS
We present our experience with outpatient management of asymptomatic chronic pilonidal disease. We prospectively studied patients presenting with pilonidal disease from Mar. 20, 2005, to Mar. 20, 2008. All were managed as outpatients. We reviewed presentation, treatment, healing, time off work and recurrences.


RESULTS
In all, 150 patients (131 men and 19 women) with chronic pilonidal sinuses underwent ambulatory plain lateral excision and primary repair during the study period. The mean age of patients was 22.1 years. The mean duration of surgery was 18.4 minutes. No general complications occurred. Local complications consisted of 3 wound infections and 4 wound hematomas. No sinus recurrence occurred. The healing rate was fast in all patients.


CONCLUSIONS
Advantages of ambulatory plain lateral excision and primary repair include immediate treatment, minimal pain and a quick return to normal activities. This method is a simple and effective procedure in the treatment of uncomplicated pilonidal sinuses.
Department of Surgery, Faculty of Medicine, University of Medical Sciences of Tabriz, Iran. maghsoudih@yahoo.com
Hemmat
H
Maghsoudi
Nariman
N
Nezami
Ali Akbar
AA
Ghamari
D000293:Adolescent; D000328:Adult; D000556:Ambulatory Surgical Procedures; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D010864:Pilonidal Sinus / Q000601:surgery*; D012189:Retrospective Studies; D013536:Suture Techniques; D055815:Young Adult
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