Surgical Treatment of Sacrococcygeal Pilonidal Sinus Disease with "Non-Touch" Method

Introduction: Pilonidal sinus disease is a chronic illness with acute episodes, which is very common in the society, primarily in males. It is often symptomatic in young adults. Even today, recurrence of the pilonidal sinus after surgery and wound dehiscence occur following surgery. In this study, we discuss the results of a specific surgical treatment of complicated pilonidal sinus cases: "Non-Touch" method. We review the literature.Methods: Between June 2010 and June 2017, all hospital records of patients with complicated pilonidal sinus treated in our group were reviewed retrospectively. Demographic characteristics, treatment methods and results of the patients were evaluated. The results were compared with the results of the methods applied in the literature. “Non-Touch” excision was employed in all patients to avoid hanging from the lesion.Results: Thirty-two patients were involved in the study. 21 (65.6%) were male and 11 were female (34.4%). Mean age at operation was 34.2 ± 3.5 years (range: 14-85). Karydakis method was applied in 18 cases (56.2%), Limberg method in 14 cases (43,8%). Pilonidal sinus excision (“Non touch” excision) was performed with primary surgery by hanging from the lesion corners. The mean hospital stay was 2.1 days. Antibiotic treatment with cefazolin and metronidazole and dressings were continued for 2 weeks. Sutures were taken out at 2 weeks. During follow-up, patient recovery was smooth. Wound infection occurred in 2 cases (6.3%).Conclusion: In pilonidal sinus surgery, the incision is suspended with the sutures from the corners and we think that the wound edges will be gently held with fine-threaded clamps to speed up wound healing, reduce wound infections and prevent recurrences