Pilonidal sinus excision under local anesthesia: a day case experience

Muhammad Naeem; Waleed Mabood; Muhammad Imran; Rashid Waheed; Sohaib Ali

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Pilonidal sinus excision under local anesthesia: a day case experience

Author(s)

Muhammad Naeem Department of General Surgery, MTI, Khyber Teaching Hospital,Peshawar -,Pakistan

Waleed Mabood Department of General Surgery, MTI, Khyber Teaching Hospital,Peshawar -,Pakistan

Muhammad Imran Department of Paediatrics Surgery, MTI, Khyber Teaching Hospital,Peshawar -,Pakistan

Rashid Waheed Department of General Surgery, MTI, Khyber Teaching Hospital,Peshawar -,Pakistan

Sohaib Ali Department of General Surgery, MTI, Hayatabad Medical Complex,Peshawar -,Pakistan

Abstract

Objective: To assess the outcome of pilonidal sinus disease excised under local anesthesia Materials and Methods: This was a prospective study conducted in the department of surgery Khyber teaching hospital after approval from the ethical board and after fully informed written consent from April 2018 to April 2019, 1 year in duration carried out on 40 patients. They were followed for minimum period of 6 months post operatively. Age, presentation, inpatient stay, and complications were recorded. Results: A total of 40 patients were diagnosed with PND. All patients were male with a mean age of 23.04 +- 2.43. The mean operative time was 40 min (range 22-45 min). The duration of hospital stay ranged from 4 to 8 hours. Healing time was 1421 days. 5 cases (12.5%) presented with wound pain, which was treated with better combination of painkillers. One patient (2.5%) presented with wound infection without disruption, which was treated with repeated dressing. One patient (2.5%) patient presented with recurrence after 6 months which was again excised. Conclusion: Complication rate can be kept surprisingly low if PND is excised minimally under local anesthesia and left for secondary intention healing.

Publication Details

Page(s) 21-24

DOI DOI not available

Published Journal: Journal of Medical Science, Volume: 28, Issue: 1, Year: 2020

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Keywords

day case surgery, wide local excision, secondary wound healing, Pilonidal sinus disease