Abstract
Objective: T o Assess the outcome of different treatment options we used in our 310 Cases of Sacro
Coccygeal Pilonidal Disease in 12 Y ears.
Methods: Analytical case study . T otal 310 Patients were divided in 4 groups according to the stage of
disease. Ist group, sinuses with occasional discharge (1 10 Cases) had eccentric excision closed with
advancing flap. (Karydakis Flap). 2nd group, limited disease with dryed up occasionally bleeding track
excised and closed under local anaesthesia (17 Case). Third group, very extensive, severe disease with
multiple sinuses (161 cases). Treated with Limberg flap. 4th group of acute abscess treated with incision
drainage and debridement, (22 Cases).
Results: Hospitalization period 3.5 days in all groups. Mean period for healing 3.8 wreaks. Late recurrences
after one year follow up were; In group 1, karydakis flap, 1.85%, Group 2, Local excision Nil, Group 3,
Limbergs flap Nil, Group 4, incision drainage of abscess 18.3%.
Conclusion: For best results we need to define a staging system consistent with varied clinical presentation
of the disease resulting in a stage specific treatment approach.
