Management Options of Sacrococcygeal Pilonidal Disease.
Objective: To Assess the outcome of different treatment options we used in our 310 Cases of Sacro Coccygeal Pilonidal Disease in 12 Years. Methods: Analytical case study. 310 Patients were divided in 4 groups according to the stage of disease. Ist group, sinuses with occasional discharge (110 Cases) had eccentric excision closed with advancing flap. (Karydakis Flap). 2nd group, limited disease with dryed up occasionally bleeding track excised and closed under local anaesthesia (17 Case). Third group, very extensive, severe disease with multiple sinuses (161 cases). Treated with Lim berg flap. 4th group of acute abscess treated with incision drainage and debridement, (22 Cases). Results: Hospitalization period 3.5 days in all groups. Mean period for healing 3.8 wreaks. Late recurrences after one year follow up were; In group 1, karydakis flap, 1.85%, Group 2, Local excision Nil, Group 3, Limbergs flap Nil, Group 4, incision drainage of abscess 18.3%. Conclusion: For best results we need to define a staging system consistent with varied clinical presentation of the disease resulting in a stage specific treatment approach.
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