| Abstract: | Abstract. Background Complete excision is the preferredtreatment for pilonidal sinus disease. We describe a newtechnique of excision and tension–free primary closure ofpilonidal sinus disease, combined with application of fibringlue in order to obliterate the dead space and to promotewound healing.Methods A curved incision of thecarried out, 2–3 cm lateral to the opening of the sinus,done under general or spinal anesthesia, and a thick flapwas created by undercutting the medial edge and advancingit across the midline. The sinus was completelyexcised with all of its extensions. The flap was thensutured back to its original place by several interruptedmonofilament mattress sutures. Then, 2–4 ml of fibringlue was injected through the original pilonidal sinusopening to the sinus bed in order to obliterate the deadspace.Results Thirty patients with pilonidal sinus diseasewere treated by this technique. In four patients, there wasa temporary purulent discharge through the opening of thesinus, and there were no other complications. The meanperiod for returning to daily activities and to work forpatients was 11 days (SD=6 days). No infection or recurrentdisease was noticed during the follow–up period (23±3months).Conclusions Complete excision with tensionfreeclosure with fibrin glue application may be a usefultechnique for the treatment of pilonidal sinus disease. |
