SKIN GLUE IMPROVES OUTCOME AFTER EXCISION AND PRIMARY CLOSURE OF SACROCOCCYGEAL PILONIDAL DISEASE

Document Type : Original Article

Author

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. 

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