Selim Sözen
NAMIK KEMAL UNIVERSITY, Turkey
Title: The comparison of drainage, delayed pits excision and closure with excision and secondary healing in pilonidal sinus abscess cases
Biography
Biography: Selim Sözen
Abstract
Introduction: Usually seen in young men, a pilonidal abscess is a condition that requires immediate drainage.
Objective: To compare incision and draining(I&D) of acute pilonidal abscess(PSA) and healing by secondary intention with I&D and subsequent delayed pits excision and closure(PE/PC).
Methods: A total of 62 patients admitted with PSA were randomized to undergo either incision and drainage (I&D) and healing by secondary intention (Group 1, n=33) or I&D and pits excision and closure (PE/PC) (Group 2, n=29). Demographic characteristics of the patients, abscess depth and location, duration and healing times of the symptoms, time required to return to work and ratio of chronic pilonidal sinus (PNS) development were recorded and the two methods were compared.
Results: No statistically significant differences were found between the groups in relation to gender, age and pre-operation findings, including discharge, infection, pain and the length and depth of abscess. There was no difference in length of hospital stay between the groups, and no statistically significant difference was found between the groups in terms of complication rate(p=0.298). A statistically significant difference(p=0.033) was however found between the two groups in the recurrence rate of a pilonidal abscess(9.09% in group 1 versus 3.44% in group 2). A statistically significant difference was also observed between the groups in terms of development of chronic PNS(p=0.020).
Conclusions: According to the results of our study, incision and drainage, delayed pits excision and closure should be the primary procedure used, as opposed to skin incision, curettage and secondary healing for the treatment of PSA.