Bushra Tasneem, Aisha Tasneem, Aqsa Ismail, Rahil M Rehman, Abdullah Muttaqi.
To compare the results of primary closure of pilonidal sinus with or without redivac drain.
Pak J Surg Jan ;36(3):221-6.

Objective: The objective of this study was to assess the outcomes of primary closure of pilonidal sinus and compare it with and without placement of redivac drain. Material and Methods: This prospective study by convenient sampling technique was carried out at Abbasi Shaheed Hospital, Karachi, from January 2016 to February 2020, after taking the approval. Patients of any age of either gender with confirmed diagnosis of pilonidal sinus through clinical observation of the symptoms including intermittent pain, swelling and discharge at the natal cleft were included in the study. Patients were divided into two groups i.e. group-I comprised of patients (n=24) who were not treated with redivac drain while group-II included the patients (n=24) who were treated with redivac drain during the surgery. Data was analyzed using (SPSS) version 20. Results: The mean age of patients of group-I was 30.58+-4.53 years where as in group-II, the mean age was found to be 31.25+-3.98 years. Healing time was 6.08+-3.57 weeks in group-I while it was 3.0+-1.76 weeks for group-II (p<0.001). In group-I, 11 (45.8%) patients showed infection and in group-II, less number of patients showed infection 4(16.7%) with significant difference (p=0.029). Satisfactory wound healing in group-I was observed in 14(58.3%) where as in group-II the frequency was higher as 20 (83.3%) patients showed satisfactory wound healing. In group-I only 2(8.3%) patients showed the formation of pus in their wounds while it was absent in patients of group-II (p=0.149). Conclusion: It was predicted that ideal outcome of primary closure after excision was achieved by using redivac drain and the frequency of complications, pus formation and healing time was reduced in comparison to the patients treated without drain. Furthermore it was revealed that satisfactory wound healing was much higher in patients with drain.

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