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



Saneie B¹ ; Mahmoudieh M¹ ; Kojoor AAS² ; Solouki R³ ; Jazi AHD⁴ Show Affiliations
Source: Journal of Isfahan Medical School Published:2012

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. © 2012, Isfahan University of Medical Sciences(IUMS). All rights reserved.