Treatment of Pilonidal Sinus with Midline Excision and Primary Repair

Background: pilonidal sinus is a common disorder of the sacrococcygeal region. optimal treatment remain controversial and recent reports have advocated different surgical approaches. Materials and methods: a prospective study was performed on 103 patients with non recurrent and without complication sinus. excision with primary closure was performed on all patients. Patients were subdivided into 2 groups. in group A the excision and repaired associated with overtie bandage. in group B the wound was not overtie bandage. Result: Excision with primary closure and overtie bandage was perform in 53 patients. Overtie bandage omitted in so patients. minor wound complication occurred in 3 patients in A and in 36 patients in B. No complete dehiscence of the wound was observed in patient in group A and in 8 patient in group B. Complete healing was fastest in group A. recurrence occurred in 1 patient in group A and in 2 patient in group B. Conclusion: short and long term result suggest that midline excision with primary closure and overtie bandage in patients with BMI < 35 is a simple and effective procedure in the surgical treatment of uncomplicated ps.