Published Paper Details:

ABSTRACT: Pilonidal sinus is chronic acquired condition occuring at the midline pit situated in midgluteal cleft at postanal region, which causes pain, discomfort, embarrassment and absence of mind from daily activites. Prolong sitting, obesity, repeated irritation due to hair. The incidence of the disease is calculated to be 26 per 100,000 people seen more in males than females, as males have more hairs, the buttocks moves and hairs breaks off by friction and collect in the cleft which makes local inflammation turns to sinus formation. In Ayurvedic science acharya Sushruta mentioned eight types of sinuses as nadivrana. Among these pilonidal sinuses can be considered under shalyaj nadivrana (sinus due to foreign body). Case study Aim and Objective: This study aims to estimate simple excision and tension free primary closure and to study its effectiveness in term of operating and healing time. Result: The study involved a median age male patient (27 years). Mean operation time was 25-30 minutes. patient had full primary healing without any complication. No hematoma or seroma or wound infection and developed recurrence. hospital stay was 2 days, patient terms of healing time, complications, and rate of recurrence went back to his work within 3 weeks. Dissucion and conclusion: Excision and tensionsfree primary closure have been found to be uncomplicated treatments associated to lower wound infection rates, shorter hospital stays, lower recurrence, early wound recovery, and brief absences from work. Surgery can be easily performed and preferred for cases of non-recurrent pilonidal sinus and cyst.