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RMJ. 2016; 41(4): 454-458

Pilonidal sinus; Primary repair versus healing by second intention

Muhammad Iftikhar Khattak, Habib Ullah Shah, Durr-e-Shahwar Qazi.

Objective: To assess the outcome of pilonidal sinus primary repair compared to healing by second intention as shown by wound healing time, return to work time and recurrence.
Methodology: 50 patients were selected and randomised through random table generation. There were 30 patients in primary repair group (Group 1) and 20 patients in healing by second intention (Group 2). Patients were followed for up to one year postoperatively. Length of stay, time of return to work, wound healing rate, recurrence and occurrence of early postoperative complications were recorded.
Results: The mean return to work time, and mean total healing time was significantly lower for primary repair than for open healing group (t (-4.7), p

Key words: Pilonidal sinus, surgical outcome, open healing, primary closure

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