Nur Saeed, Junaid Siddique, Asim Bhatti.
Primary closure a prefferd technique for pilonidal sinus.
Isra Med J Jan ;5(3):207-10.

OBJECTIVES: To compare the efficacy of excision with primary closure versus open excision of the pilonidal sinus of natal cleft. The rationale of this study is to develop a single operative technique that will allow early healing and early return to work after getting surgical treatment of the pilonidal sinus of the natal cleft. STUDY DESIGN: Comparative cross sectional study. PLACE & DURATION: One year from 01-02-2011 to 31-01-2012, General surgical Department, Nishtar Hospital Multan. METHODOLOGY: The study was conducted at General Surgical Department Nishtar Hospital Multan. 60 patients were divided in two groups, 30 in each group. Patients in group A were subjected to Primary closure and group B were subjected to open healing after excision of the pilonidal sinus. Follow up was done at 4 weeks and 8 weeks after operation. RESULTS: Primary closure proved to be satisfactory in terms of Wound Healing time (p < 0.05) than open excision. In terms of time to return to work, return to work was early in group A (p < 0.05) as compared to group B. CONCLUSION: Primary closure after excision of the pilonidal sinus is much better and simple method in terms of early healing and early return to work as compared to the excision and open healing of the pilonidal sinus of the natal cleft.

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