Pilonidal sinus repair primary closureDr D.U.Pathak, Shalby hospital, Jabalpur (M.P) India

Excision

Position is left lateral.

Anaesthesia local block

Xylocaine adrenaline is injected all around.

Methylene blue instilled in sinus to demarcate the cavity.

Sinus excised and edges undermined

Excised wound

Sinus is extracted having included whole cavity stained by methylene blue.

The edges are undermined for tension free closure.

Hemostasis is achieved.

Drainage

Suction drain placed

Wound closure

Wound closed in two layers.

It should be a tension free closure.

Results

Wound heals well if whole infected sinus is excised thoroughly

Proper haemostasis done

And

Stitches removal is delayed.