Digestive Surgery

Original Paper

Comparative Study between Radiofrequency Sinus Excision and Open Excision in Sacro-Coccygeal Pilonidal Sinus Disease

Gupta P.J.

Author affiliations

Gupta Nursing Home, Nagpur, India

Keywords: Pilonidal sinusExcision and open woundRadiofrequencyRecurrence

Related Articles for ""
Dig Surg 2005;22:459–463
https://doi.org/10.1159/000092034

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: June 18, 2005
Accepted: January 16, 2006
Published online: April 21, 2006
Issue release date: April 2006

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU

Abstract

Aim: Evaluation of outcome of pilonidal sinus excision using a radiofrequency device and comparing its results with excision and open granulation procedure. Methods: Patients with sacro-coccygeal pilonidal sinus disease (n = 44) were randomly assigned to undergo either a wide excision and healing by open granulation procedure [WEG] (n = 23) or a radiofrequency sinus excision [RSE] (n = 21). An Ellman radiofrequency generator was used for RSE. Intra- and postoperative events and outcome data were evaluated and analyzed by Student’s unpaired t test and χ2 test. Results: The significant differences in the two groups WEG and RSE were as follows: mean hospital stay (47 vs. 10 h, p < 0.05), period off work (29 vs. 8 days, p < 0.05), mean analgesic requirement (39 vs. 15 tablets, p < 0.05), time for complete wound healing (84 vs. 49 days, p < 0.05). At the mean follow-up of 30 months, 2 patients from the wide excision and open granulation group and one patient from the radiofrequency sinus excision group developed recurrence. Conclusion: These findings suggest that sinus excision with radiofrequency is a simple and swift procedure. It needs a short hospital stay and is associated with less postoperative pain and early resumption to work. As compared to excision and healing by granulation technique, the radiofrequency sinus excision procedure achieves faster wound healing and a better outcome.

© 2005 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: June 18, 2005
Accepted: January 16, 2006
Published online: April 21, 2006
Issue release date: April 2006

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU

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2005, Vol.22, No. 6

April 2006

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