부산대학교 도서관

Objective: To assess the outcome of pilonidal sinus disease excised under local anesthesia Materials and Methods: This was a prospective study conducted in the department of surgery Khyber teaching hospital after approval from the ethical board and after fully informed written consent from April 2018 to April 2019, 1 year in duration carried out on 40 patients. They were followed for minimum period of 6 months post operatively. Age, presentation, inpatient stay, and complications were recorded. Results: A total of 40 patients were diagnosed with PND. All patients were male with a mean age of 23.04 +- 2.43. The mean operative time was 40 min (range 22-45 min). The duration of hospital stay ranged from 4 to 8 hours. Healing time was 14-21 days. 5 cases (12.5%) presented with wound pain, which was treated with better combination of painkillers. One patient (2.5%) presented with wound infection without disruption, which was treated with repeated dressing. One patient (2.5%) patient presented with recurrence after 6 months which was again excised. Conclusion: Complication rate can be kept surprisingly low if PND is excised minimally under local anesthesia and left for secondary intention healing. [ABSTRACT FROM AUTHOR]