Abstract

GUPTA, Pravin J. Radiofrequency resection of pilonidal cyst: a better option for a wide resection and healing by open wound. rev. colomb. cir. [online]. 2006, vol.21, n.1, pp.57-62. ISSN 2011-7582.

Background: Despite a variety of surgical techniques proposed for the treatment of pilonidal disease, none of them has come to be recognized as an optimum modality. In the present study, the author describes a technique of sinus excision using a radiofrequency device. A separate study is conducted to compare the outcome of this technique with wide excision and open granulation procedure. Materials and Methods: Of the 44 patients with sacro-coccygeal pilonidal sinus disease studied, 23 were randomly assigned to undergo wide excision and healing by open granulation (WEG) and 21 patients for radiofrequency sinus excision (RSE). A Ellman radiofrequency generator was used for sinus excision. Peri and postoperative events, complexity and outcome data were recorded. Results: The significant differences in the two group WEG and RSE were as follows- mean hospital stay [47 hours versus 10 hours], period off work (29 days versus 8 days), mean analgesic requirement (39 tablets versus 15 tablets), time for complete wound healing (84 days versus 49 days). At the mean follow-up of 30 months, two patients from the wide excision and open granulation group and one patient from the radiofrequency sinus excision group developed recurrence. Conclusion: This study shows 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. Based on our initial experience, it can be concluded that this procedure has a place in the treatment of pilonidal sinus disease.

Keywords : pilonidal sinus; radiofrequency; wound healing.

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