Volume 30, Issue 3 (Avicenna Journal of Clinical Medicine-Autumn 2023)                   Avicenna J Clin Med 2023, 30(3): 179-186 | Back to browse issues page


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Imani B, Souri S, Salehi M, Ehsani M H. Technical Comparison of Three Surgical Methods: Open, Semi-closure, and Primary Closure in the Treatment of Pilonidal Sinus. Avicenna J Clin Med 2023; 30 (3) :179-186
URL: http://sjh.umsha.ac.ir/article-1-2833-en.html
1- Department of Operating Room, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran
2- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of General Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (334 Views)
Background and Objective: Pilonidal sinus of the sacrum is a relatively common chronic infectious disease. Surgical management of pilonidal sinus is a challenging matter, and despite the different surgical techniques, the recurrence rate is still high.
Materials and Methods: This double-blind clinical trial study was conducted on 60 patients with pilonidal sinus (2023). These patients underwent surgery randomly and based on the available sampling method in three methods: open, semi-closure, and primary closure. Recovery time and intraoperative bleeding were recorded. The McGill Pain Questionnaire was used to evaluate postoperative pain, and the Southampton scale was employed to assess infection and secretions.
Results: The recovery time was longer in the open method than in the closure and semi-closure methods (P=0.001). However, this difference did not exist between the closure and semi-closure methods (P=0.402). There were two cases of recurrence in the closed method, while no recurrence was observed in the open and semi-closure methods. The patients undergoing the closure surgical method experienced less bleeding postoperatively (P=0.002). No significant relationship was found between surgical method and infection (P=0.189). There was no significant difference in the intensity of pain experienced by patients after the operation (P=0.789).
Conclusion: For the treatment of pilonidal sinus, primary surgical closure is not recommended due to recurrences, despite the shorter recovery time and less bleeding. The semi-closure surgical method seems to be safer than the open and primary closure methods.

 
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Type of Study: Original | Subject: General Surgery

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