RBrief Communication

simple technique for sacro-coccygeal pilonidal sinus disease Pravin J. Gupta, MS. adical excision has still been the most widely practiced surgical procedure for the treatment of pilonidal disease.1 The entire sinus is excised with the surrounding tissue down to the post sacral fascia. The defect may be left open to granulate, or is closed by primary suturing or with some form of flap. Healing by secondary intention takes long period and needs regular dressing and meticulous wound care coupled with control of hair growth through regular shaving of the natal cleft. Lord and Millar2 described excision of midline epithelial follicles under local anesthesia and thereafter passing a small brush in the tract to remove hairs within the granulation lined tract. Following Lord and Millar’s2 technique, we modified it by excising the complete tract instead of brushing it, and left the wound open for healing by secondary intention. A radiofrequency device was use to carry out the entire surgical procedure. An Ellman dual frequency radiofrequency generator (Ellman International, Oceanside, Ne