SKIN GLUE IMPROVES OUTCOME AFTER EXCISION AND PRIMARY CLOSURE OF SACROCOCCYGEAL PILONIDAL DISEASE | ||
| The Egyptian Journal of Surgery | ||
| Volume 28, Issue 3, July 2009, Pages 105-109 PDF (177.21 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2009.367594 | ||
| Author | ||
| Ibrahim Othman* | ||
| Department of General Surgery, Faculty of Medicine, Tanta University, Egypt | ||
| Abstract | ||
| Aim: Evaluating the effect of Histoacryl on the outcome and recurrence rate after excision and primary closure of sacrococcygeal pilonidal disease. Methods: Forty patients with sacrococcygeal pilonidal sinus were randomly divided into 2 equal groups through computer randomization program. Group I was operated by complete excision of sinus with wound closure using Histoacryl. Group II was operated with primary wound closure by interrupted inverting sutures. Results: Mean operative time was 31.5±5.6 minutes in group I and 35.9±5.1 minutes in group II. Mean healing time was 13.4±2.7 days in group I and 18.0±8.9 days in group II. Wound infection occurred in 2 patients (10%) in Group II. Delayed wound healing occurred in 3 patients (15%) in group I and 4 patients (20%) in group II. Recurrence occurred in 1 patient (5%) in group I and 3 patients (15%) in group II. Conclusion: Histoacryl improves outcome (significantly decreases operative and healing times and increases patient satisfaction score, insignificantly decreases rates of complications and recurrence) after excision and primary closure of sacrococcygeal pilonidal disease. | ||
| Keywords | ||
| Histoacryl; Pilonidal sinus; midline operation | ||
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