A single-surgeon, single-institute experience of 59 sinotomies for sacrococcygeal pilonidal disease under local anesthesia

The sacrococcygeal pilonidal disease affects relatively young people, causing much nuisance and many lost working days. The ideal treatment should be simple, allowing a speedy recovery with short hospitalization while affording a permanent cure. Currently, many treatment options are available; unfortunately, none of them is ideal and each has its own recurrence rate. In this study, we wanted to emphasize the effectiveness of sinotomy in sacrococcygeal pilonidal sinus disease by single-surgeon's experience. Single-surgeon's experience of 59 pilonidal sinus patients was reviewed at single-institute between July 2005 and December 2006. 2% Prilocaine was injected for local anesthesia and sinotomy technique was performed. All patients were discharged at postoperative second hour and were followed up for a minimum 1 year. Median age of the 59 patients was 24 (14-56) years. Forty-six (77.96%) of them were male and 13 (22.03%) of them were female. Healing completed in 1 month and almost all the patients were able to return to work the following day. We proudly have no recurrence at our mean follow up time of 16 months (range: 12-24 months). Our complication rate was 1.69%. Sinotomy has the advantages of simplicity, the possibility to operate under local anesthesia with excellent recurrence rate of 0% (Ref. 9). Full Text (Free, PDF) www.bmj.sk.