caa a22 4500 606246746 CHVBK 20210128101341.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0983-4 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0983-4 A Retrospective Study of 40 Cases of Pilonidal Sinus with Excision of Tract and Z-plasty as Treatment of Choice for Both Primary and Recurrent Cases [Elektronische Daten] [Jagdeep Rao, Harsh Deora, Rajendra Mandia] Pilonidal sinus is a common chronic disease of the sacrococcygeal region. The treatment varies according to the clinical presentation of the disease. Although many surgical methods have been suggested, an ideal method is still lacking because of high recurrence rates. The aim of this work is to assess the role of Z-plasty in promoting primary healing in pilonidal disease and to evaluate morbidity and recurrence. This study included 40 patients (36 males and 4 females) who underwent excision of sinus and Z-plasty closure for sacrococcygeal pilonidal sinus. The follow-up period ranged from 6 to 12months. There were 36 males and 4 females with a median age of 25years. The mean hospital stay was 2days. The mean time to return to work after discharge from the hospital was 14days. There were no recurrences, and all patients were satisfied with the cosmesis. Two patients (5%) had numbness over the flap. Necrosis of flaps did not occur in any patient. Only three patients were noticed to have wound infection (7.5%). Five patients (12.5%) developed wound seroma. Although requiring some technical expertise, excision of sinus and Z-plasty offer superior results with respect to recurrence in the hospital stay and cosmesis of patients with pilonidal sinus. Association of Surgeons of India, 2013 Pilonidal sinus nationallicence Sacrococcygeal region nationallicence Z-plasty nationallicence Seroma nationallicence Rao Jagdeep Department of Plastic Surgery, Sawai Man Singh Medical College, 302004, Jaipur, Rajasthan, India aut Deora Harsh Department of General Surgery, Sawai Man Singh Medical College, House no 5/1 Heera Bagh Flats, 302004, Jaipur, Rajasthan, India aut Mandia Rajendra Department of General Surgery, Sawai Man Singh Medical College, House no 5/1 Heera Bagh Flats, 302004, Jaipur, Rajasthan, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 691-693 0972-2068 77<691 2015 77 12262 https://doi.org/10.1007/s12262-013-0983-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0983-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rao Jagdeep Department of Plastic Surgery, Sawai Man Singh Medical College, 302004, Jaipur, Rajasthan, India aut NATIONALLICENCE 700 1- Deora Harsh Department of General Surgery, Sawai Man Singh Medical College, House no 5/1 Heera Bagh Flats, 302004, Jaipur, Rajasthan, India aut NATIONALLICENCE 700 1- Mandia Rajendra Department of General Surgery, Sawai Man Singh Medical College, House no 5/1 Heera Bagh Flats, 302004, Jaipur, Rajasthan, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 691-693 0972-2068 77<691 2015 77 12262