Abstract:

Introduction Pilonidal sinus (PS) is a common benign pathogenic chronic disease in the sakrokoksigeal area. In the etiology of the disease, the foreign body reaction formed by the hair follicles is a highly accepted theory. Despite the use of various surgical methods today, there is still no ideal treatment method. In this study, the repairs made with the primary and limberg flep after the PS excision were compared. Facts and methods that appeal to the clinic between 2005 and 2012 with the cause of pilonidal sinus were studied retrospectively. During this period, 184 patients were primary repairs, while 192 patients were limberg flep repairs. Patients with acute infection and without sinus excision were not included in the study. Patients were checked. The data was statistically assessed. The findings were found significantly high in patients with surgery and stay in the hospital with limberg flep repair (p<0,05). While no significant difference was found in the area of infection, wound separation, pain and nausea during the postoperative first defection (p>0,05) , cosmetic anxiety, long-term wound insensitivity and swelling were significantly high in patients performed in lymph flep repair (p<0,05). As a result, a wide variety of conservative and surgical methods are used in the treatment of pilonidal sinus. But none of these methods of treatment can completely prevent and prevent the nausea. The primary repair method, which has fewer cosmetic losses, the patient’s loss of sensation is more rare and is less invasive than other methods, can still be preferred in current practice.

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