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Open AccessArticle

Laying Open and Curettage under Local Anesthesia to Treat Pilonidal Sinus: Long-Term Follow-Up in 111 Consecutively Operated Patients

1
Chief Colorectal Surgeon, Indus International Hospital, Mohali 140507, India
2
Nishtha Surgical Hospital and Research Centre, Patan 384265, Gujarat, India
*
Author to whom correspondence should be addressed.
Academic Editor: Porta Camillo
Clin. Pract. 2021, 11(2), 193-199; https://doi.org/10.3390/clinpract11020028
Received: 9 December 2020 / Revised: 23 February 2021 / Accepted: 4 March 2021 / Published: 1 April 2021
(1) Background: Several techniques for the treatment of pilonidal sinus disease (PSD) are in vogue, though none have emerged as the gold standard. Laying open (deroofing) and curettage under local anesthesia is one of the most straightforward procedures to treat PSD. In this study, the long-term follow-up in a large series was analyzed. (2) Methods: The laying open approach was performed for all types of consecutive PSD patients—simple, complicated, and abscess. The primary outcome parameter of the study was the healing rate. The secondary outcome parameters were operating time, hospital stay, time to resumption of normal work, and healing time. (3) Results: 111 (M/F–92/19, mean age-22.9 ± 5.7 years) consecutive patients were operated on and followed for 38 months (6–111 months). Of these, 24 had pilonidal abscesses, 87 had chronic pilonidal disease, while 22 had recurrent disease. Operating time and hospital stay were 24 ± 7 min and 66 ± 23 min, respectively. On average, patients could resume normal work in 3.6 ± 2.9 days and the healing time was 43.8 ± 7.4 days. Three patients were lost to follow-up. Complete resolution of the disease occurred in 104/108 (96.3%) patients, while 4 (3.7%) had a recurrence. One recurrence was due to a missed tract, while three recurrences presented after complete healing had occurred. Two patients with recurrence were operated on again with the same procedure, and both healed completely. Thus, the overall success rate of this procedure was 98.1% (106/108) with a recurrence rate after first surgery of 3.7% over a median follow-up of 38 months. (4) Conclusions: Pilonidal disease managed by laying open (deroofing) with curettage under local anesthesia is associated with a high cure rate. This procedure is effective in treating all kinds of pilonidal disease (simple, complicated, and abscess). View Full-Text
Keywords: pilonidal; lay open; deroofing; curettage; sinus pilonidal; lay open; deroofing; curettage; sinus
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MDPI and ACS Style

Garg, P.; Yagnik, V.D. Laying Open and Curettage under Local Anesthesia to Treat Pilonidal Sinus: Long-Term Follow-Up in 111 Consecutively Operated Patients. Clin. Pract. 2021, 11, 193-199. https://doi.org/10.3390/clinpract11020028

AMA Style

Garg P, Yagnik VD. Laying Open and Curettage under Local Anesthesia to Treat Pilonidal Sinus: Long-Term Follow-Up in 111 Consecutively Operated Patients. Clinics and Practice. 2021; 11(2):193-199. https://doi.org/10.3390/clinpract11020028

Chicago/Turabian Style

Garg, Pankaj; Yagnik, Vipul D. 2021. "Laying Open and Curettage under Local Anesthesia to Treat Pilonidal Sinus: Long-Term Follow-Up in 111 Consecutively Operated Patients" Clin. Pract. 11, no. 2: 193-199. https://doi.org/10.3390/clinpract11020028

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