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Category: Volume 05 Issue 09 September 2017
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Title: Radiofrequency Pilonidal Sinus Excision: Better Option to Wide Excision and Open Wound Healing Technique

Author: Dr Smita Uday Vaidya

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i9.97

Abstract

Aim: Evaluation of outcome of pilonidal sinus excision using a radiofrequency device and comparing its results with wide excision and open granulation procedure.

Methods: Patients with sacro-coccygeal pilonidal sinus disease (n=44) were randomly assigned to undergo either a wide excision and healing by open granulation procedure [WEG] (n=23) or a radiofrequency sinus excision [RSE] (n=21). A Ellman radiofrequency generator was used for sinus excision. Peri and postoperative events, complexity and outcome data were recorded and analyzed by student’s unpaired t-test with 95% confidence interval. (95%CI)

Results: The significant differences in the two group WEG and RSE were as follows- mean hospital stay [47 vs. 10 hours, p<0.001], period off work [29 vs. 8 days, p<0.001], mean analgesic requirement [39 vs. 15 tablets, p<0.001], time for complete wound healing [84 vs. 49 days, p<0.001]. At the mean follow-up of 30 months, two patients from the wide excision and open granulation group and one patient from the radiofrequency sinus excision group developed recurrence.

Conclusion: These findings suggest that sinus excision with radiofrequency is a simple and swift procedure. It needs a short hospital stay and is associated with less postoperative pain and early resumption to work. As compared to excision and healing by granulation technique, the radiofrequency sinus excision procedure achieves faster wound healing and a better outcome.

Keywords: Pilonidal sinus. Excision and open wound Radiofrequency. Recurrence.

 

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Corresponding Author

Dr Smita Uday Vaidya

Address: Procto Clinic Sai Suman Hospital, Plot No. 10, Vasant Vihar,

Behind Awanti Nagar, Near Old Pune Naka, Solpaur - 413001 Maharashtra, India