Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique.

Abstract

Introduction; The pilonidal sinus represents a benign cystic formation located between the skin and the coccygeal bone in the mediogluteal line. It was first described in 1833 by Herbert Mayo and R.M Hodges. It is thought that the cause is the penetration of hair into the subcutaneous intergluteal area.  This pathology is the result of an inflammatory expansion of the hair follicle accompanied by the expansion of the fatty glands and sweat. The purpose of the study: To evaluate our results in the treatment of this pathology with the technique above and to compare them with the results of similar works referred to in the world literature. Materials and Method; In our study are recorded 60 patients, diagnosed with uncomplicated and previously unoperated sacrococcygeal fistula were included in the study. Divided by sex, 43 men and 17 women. The average age of our patients was 29.5 years (18-41 years). The time period of the study extends from January 2015 - March 2019… Results; All patients suffered from the chronic phase of pilonidal disease. The intervention was carried out with the help of spinal anesthesia by injecting 2 ml of 2% sol lidocaine in the L 3-L4 space. During the intervention, two grams of intravenous cephalosporin are applied. Interventions are performed by placing the patient in a ventral position with leucoplasts gluteal diversion. Conclusion; The presence of hair inside the pilonidal sinus is a reason in favor of the acquired theory regarding the pathogenesis. In our study, only one patient referred to heredity related to pathology. The duration of the intervention depends on the skills of the surgeon and the difficulty of the pathology. The hospitalization was determined by postoperative complications.