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.