A Comparison between the Outcomes of Tie-Over and Closed Suction Drainage Techniques in the Management of Sacrococcygeal Pilonidal Sinus Disease

Document Type : Original Article (s)

Authors

1 Assistant Professor, Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Department of General Surgery, Jondi Shapoor University of Medical Sciences, Ahvaz, Iran

4 Student of Medicine, Student Research Committee, Medical Students Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

5 Resident, Department of Surgery, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Pilonidal disease is a painful condition usually occurring in the intergluteal region. The most common procedure for surgical treatment of pilonidal disease in Alzahra Hospital (Isfahan, Iran) is excision and primary closure. However, this method could be complicated by creating a dead space at the surgical site. In this clinical trial, we compared two techniques to minimize complications following surgery.Methods: This clinical controlled trial was performed in Alzahra Hospital (Isfahan, Iran) during 2007-2008. Patients were randomized into either tie over technique group (group A, n = 54) or closed suction drainage group (group B, n = 54). The incidence of complications was evaluated by means of a specific questionnaire at the time of surgery and during follow-up visits. Data was analyzed using SPSS13.Findings: This study included 108 patients (94.4% males and 5.6% females). The mean age of subjects was 25.08 ± 3.6 years. The prevalence of complications (disease recurrence, surgical wound infection, wound dehiscence, and seroma collection) did not significantly differ between the two groups. Duration of operation in group A was significantly longer than group B (P < 0.001).  Conclusion: Based on our data, there were no differences between the outcomes of tie over and closed suction drainage techniques for surgical management of sacrococcygeal pilonidal sinus disease.

Keywords

References

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Journal of Isfahan Medical School
Volume 29, Issue 161 - Serial Number 161
September and October 2011
Pages 1844-1850

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History

  • Receive Date: 15 February 2011
  • Revise Date: 23 May 2024
  • Accept Date: 06 April 2022

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