Abstract:
Background: Herbert Mayo published the first description of pilonidal sinus in 1833. The Latin words "pilus," which means hair, and "nidus," means a nest, were combined to form the word "pilonidal' in 1880. Objective: To compare primary closure (Karydakis repair) versus open excision technique for management of saccrococcygeal pilonidal sinus in terms of mean operative time, mean hospital stay and frequency of post-operative 551 Materials & Methods: From January 2021 to December 2021, this randomised controlled clinical trial study was carried out at Hayatabad Medical Complex. In order to compare primary closure (Karydakis repair) versus open excision approach for treatment of saccrococcygeal pilonidal sinus in terms of mean operating time, mean hospital stay, and frequency of postoperative SSI, 240 patients (120 in each Group) were observed. Data was collected using a non-probability consecutive sampling technique. Results: In this study age distribution among 240 patients was analyzed as n= 12-20 Years 115(47.9%) 21-30Years 80(33.3%) 31-40 Years 6(2.5%) 41-50 Years 39(16.2%). Mean age was 35 Years with SD ± 3.87. Gender wise distribution among 240 patients was analyzed as n= Male was 146(60.8%) and Female was 94(39.2%) ASA Score classification among 240 patients were analyzed as n= ASA score 1 was 145(60.4%) and ASA Score 2 was 95(39.6%). Comparison of Effectiveness between Groups among 240 patients were analyzed as n= Group A was 35% effective and Group B was 63.9% effective. BMI classification among 240 patients were analyzed as n= Below 18.5 Underweight 124(51.7%) 18.524.9. Normal weight 90(37.5%) 25.0-29.9 Pre-obesity 6(2.5%) and 30.0-34.9 Obesity class 20(8.3%) Conclusion: The goal of the current study was to compare the effectiveness of the two different methods for excision and primary closure of the pilonidal sinus, specifically in terms of operating time, post-operative complications, hospital stay, and recurrence. Although more research with a greater sample size and longer follow-up is required, however we advise the primary closure technique for primary pilonidal sinus disease with reduced morbidity rates as compared to other.
Page(s):
14-19
DOI:
DOI not available
Published:
Journal: Ophthalmology updates, Volume: 20, Issue: 4, Year: 2022
Keywords:
Management of sacrococcygeal pilonidal sinus
,
Primary closure Karydakis repair
,
mean hospital stay and frequency of postoperative 55
,
Mean operative time
,
Open excision technique