Özet:

Background: Pilonidal sinus is commonly encountred in the sacrococcygeal areas and effects daily activities and life quality. Several surgical techniques and methods have been explained for the treatment of pilonidal sinus. In this retrospective study, we aimed compare clinical outcomes and complications of these methods. Material and methods: This retrospective study was performed over 136 sacrococygeal pilonidal sinus operations done between January 2014 and December 2015 in Ankara Atatürk Research and Training Hospital General Surgery Clinic-B. Results:. Mean age of the patients was calculated as 26,10. 121 (89%) of the patients were male and 15 (11%) were female. Total excision and leaving to secondary healing was applied to 88, total excision and primary repair to 23, Karydakis Flep to 9, VAC application to 8 and Limberg Flep to 7 of the patients involved in this study. Mean period of hospitalisation of VAC Application was longer than other surgical methods (p<0,001). Mean period of hospitalisation of patients that applied total anesthesia was shorter than patients applied spinal and local anesthesia but there is no statistically significant difference (p>0,001). Postoperative analgesia needs of patients that operated by Karydakis and Limberg Flep methods was less than other methods (p<0,026). There is no difference between patients in aspect of relaps (p>0,05). Postoperative complication ratio of flep techniques was higher than other methods (p<0,001). Total excision and leaving to secondary healing operation results in earlier return to work (p<0,001). Conclusion: Methods applied in our clinic were compared in this study. %9,6 relaps was seen in all patients and there is no statistically significant difference between groups. There is no optimal treatment of sacrococygeal pilonidal sinus,and we are in conclusion that method of treatment should be chosen according to the size, occasion of infection or relaps and job of the patient. 1. 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