Muhammad Arshad Abbas, Ghulam Hassan, Imtiaz Ahmad, Muhammad Shahzeb Asghar.
\"Pilonidal Sinus\" Mass Closure (with Prolene no. 1 having 90mm needle) after simple excision.
Pak J Med Health Sci Dec ;13(2):304-5.

Aim: To evaluate the efficacy of mass closure (with prolene no. 1 having 90mm needle)after simple excision for pilonidal sinus. Methods : The study was done in Bahawal Victoria Hospital in 36 patients (all male) over a period of 1 year from January 2009 to January 2015. All the patients underwent excision of pilonidal sinus with an elliptical incision which included all of the pilonidal sinus and all of its tracts and the wound was then closed in mass with prolene no. 1 having a 90 mm needle after adequate hemostasis. Intravenous Ceftriaxone 1g was used as a prophylaxis for infection. Patients were discharged on 2nd postop day on oral co-amoxiclave. Prolene sutures were removed at 10th post Op day. Patients were asked to come for follow up on 10th, 6 months and 1 year. Results: Wound was healed in most of cases at 1 0th postop day. Only 2 out 36 patients came to us with recurrence of the pilonidal sinus after 1 year of surgery. Conclusion: Mass closure with prolene after simple excision of pilonidal sinus is very efficacious in terms of fast recovery and low recurrence rate.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com