Sacrococcygeal Pilonidal Sinus Diseases and Operative Management at Burn and Plastic Hospital in Duhok City

Kareem Muhammed  Ahmed

doi:10.56056/amj.2025.325

Authors

Kareem Muhammed Ahmed M.B.Ch.B, MGS, PhD Anatomy Duhok/Iraq

DOI:

https://doi.org/10.56056/amj.2025.325

Keywords:

Complication, Pilonidal sinus, Operative management

Abstract

Background and objectives: Pilonidal sinus diseases usually seen in young adults, carry much morbidity and patient discomfort. The management is the most critical issue in surgical treatment because it is related to postoperative morbidity and recurrence. So, this study aims to explore sacrococcygeal pilonidal sinus diseases and the operative methods achieved in Burn and Plastic hospital in Duhok City.

Methods: A descriptive study includes 55 cases of Pilonidal Sinus disease, 50 males and five females aged between 19 and 50 years who were admitted to Burn and Plastic Hospital in Duhok City during 2018-2019 for surgical operations. Different surgical procedures were achieved including close and open methods, fascia cutaneous flaps, and skin grafts. After discharge, most of the patients attended the outpatient clinic for follow, and complications were recorded. So, this study explores the prevalence and type of surgical management used to treat them.

Results: This study showed that males were affected more than females (9:1) ratio; in the age of the second decade (47.2%). The common presentation was chronic multiple sinuses (63.6%). Operations were achieved by closed method (54.5%), flap operation (31%), open method (7%), skin graft (3.6%), and abscess drainage (3.6%). The common postoperative complication was seroma (7.2%), recurrence (5.4%), hematoma (3.6%), and wound disruption (3.6%).

Conclusion: Pilonidal is a common surgical among young adult males than females. Many conventional and flap surgical procedures are applied. It is mandatory to try many flap operations and follow up on them strictly to find the best treatment and fewer complications.

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