Pilonidal Sinusectomy and Primary Closure Versus Excision and Primary Closure in Pilonidal Sinus Disease

Abstract

Background: Pilonidal sinus disease is a common inflammatory process of the natal cleft. It mainly affects young adults aged 15–25 years. Pilonidal sinus disease can result in no apparent symptoms, specified by one or more non-inflamed pits in the natal cleft incidentally identified an abscess formation, or chronic form. This study aimed to study the efficacy of Sinusectomy and primary closure technique and compare it with excision and primary closure technique. Methods: This prospective randomized study was conducted on 50 patients diagnosed pilonidal sinus disease divided to Group (A) (N=25): underwent excision primary closure and Group (B) (N=25): underwent sinusectomy and primary closure. Admitted at the General Surgery Department of Benha University Hospital between January 2023 to December 2023. Results: The sinusectomy and primary closure group had significantly longer operative time (P