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Year : 2019  |  Volume : 2  |  Issue : 3  |  Page : 71-76

Pilonidal sinus in South India: A retrospective review

Department of General Surgery, Apollo BGS Hospitals, Mysore, Karnataka, India

Correspondence Address:
Dr. Dilip Rajasekharan
Department of General Surgery, Apollo BGS Hospitals, Mysore, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJCS.IJCS_1_20

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Introduction: Pilonidal sinus means a cavity or sinus in the subcutaneous tissue with a tuft of hair embedded in granulation tissue which communicates with the skin surface by a track lined usually by squamous epithelium which is continuous with the epidermis. We aim to identify the demographic and clinical characteristics and treatment modalities in patients with pilonidal sinus (PS). Materials and Methods: This was a retrospective analysis involving records of patients diagnosed with pilonidal sinus in Apollo BGS Hospitals, Mysore, from January 2007 to January 2019. Results: One hundred patients were identified with maximum cases in the age group of 16–25 years (61%). The male-to-female ratio was 2.98:1, with an increase in prevalence in those with sedentary occupations. The most common location was the natal cleft (94%), and risk factors included hirsutism. The maximum duration of hospital stay was 2 days (65%), and the most common presenting symptoms were discharge (77%), pain (74%), and swelling (52%). The average duration of symptoms was 7.82 days. Obesity (19%) was not found to be a significant risk factor. Maximum cases (73%) underwent excision and laying open technique. The recurrence rate of the study was 19%. Conclusion: Despite advances in medicine, pilonidal sinus still remains a bane. While numerous treatment modalities exist, there is no one ideal method for management, and the choice of surgery relies largely on the treating surgeon.

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