Comparative study of Primary closure versus Open technique after Excision of Sacrococcygeal Pilonidal sinus

Aims & objectives: To study and compare the efficacy of the primary closure and open technique after excision of sacrococcygeal pilonidal sinus. Methods &Materials: A comparative study was designed and 61 patients with sacrococcygeal pilonidal sinus were included in this study. This study took place in Owaisi hospital and research centre for a period of three years. The patients were separated into two groups. Group A (31 patients) were treated by open method (excision & healing by secondary intention) and group B (30 patients) for whom primary closure (by different types of closure techniques aiming at lateralization of natal cleft)done after excision of pilonidal sinus. The follow-up ranged from 4months to 1.5years with mean follow up of 11months was throughout patient visits. Results: Out of 31 patients in group A 20 were males and 11 were females, in group B 22 were males and 8 were females. Group A patients withmean age of 24 ± 7 years and group B with mean age of 25 ± 8 years. In group A9 patients presented with complications and all were wound infections, in groupA 5 patients presented with complications 3 with wound dehiscenceand2 with wound infection. Recurrence was seen in only one patient in group B and in none in group A. Conclusion: Excision and primary closure of sacrococcygeal pilonidal sinus aiming at lateralization of natal cleft is superior to excision and healing by secondary intention.