Introduction
Pilonidal sinus (PNS) disease is distributed in young adults who are supposed to be
healthy with maximum productivity. Wide local excision creates a tissue gap, while
the concept of minimal excision preserves healthy tissues with minimal tissue gap.
Objectives
The aim of the study was to evaluate the efficiency of minimal excision technique
after 9 years of experience.
Patients and methods
This retrospective study involved 205 consecutive patients with sacrococcygeal
PNS. All patients were treated surgically with minimal excision and primary closure.
Follow-up included wound seroma, infection, or disruption, in addition to sick leave
and PNS recurrence.
Results
PNS minimal excision was performed on 205 patients.
The mean operative time was 33 min. The hospital stay ranged from 7 to 12 h.
Healing time was 12–22 days. Time to remove the drain 4–7 days. Seroma
developed in 4.39%, simple wound infection 6.8%, significant wound infection
2.9%, and recurrence in 1.46%. Patients with recurrence shared the criteria of being
obese with deep clefts and poor hygiene.
Conclusion
Minimal excision and primary closure is a safe and easy operative procedure,
applicable to primary, recurrent, and complex branched cases with good results in
wound healing and low recurrence rate.