Background: There is still no consensus about treatment of pilonidal sinus disease, as it is actually a rather controversial disease, with high probability of its recurrence, and its care takes a long time. Ideally, therapy should be associated with short hospital stay, less painful postoperative time, rapid healing and return to work, short term wound care and a low recurrence rate. No technique fulfills all of these criteria.
Objective: To compare the efficiency and results between modified sinotomy and modified limberg flap in management of pilonidal sinus
Patients and Methods: In this prospective randomized, study 30 patients with chronic pilonidal sinus disease (less than 4 years history), were randomly allocated to either modified sinotomy with marsupialization or modified Limberg flap.
Results: using visual analogue scales (VAS), to measure postoperative pain for both group. The average score for the modified sinotomy group was 6.2±1.47, while in modified Limberg flap group was= 5.6±1.05. VAS was also used to measure patient's satisfaction. In sinotomy group, the recorded degree of satisfaction of the end scar has an average 7.6±1.06. In the flap group, the average is 6.16±1.45. The result found to be significantly more satisfaction for siotomy group (p value < 0.0001).
Conclusion:sinotomy with marsupialization give much less time of operation, less postoperative complication and hospital stay together with more satisfaction of the patients. However, modified Limberg flap show much less healing time and early time to return to work.