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Comparison of Z-plasty Versus Excision for Primary Treatment of Chronic Pilonidal Sinus

Deepak Verma. , Deepak Verma1 , Nemi Chand2 , Nikhil Jain3 , Sarthak Sharma

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New Indian Journal of Surgery 11(3):p 313-318, July – September 2020. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.13220.9

How Cite This Article:

Deepak Verma, Nemi Chand, Nikhil Jain et. al., Comparison of Z-plasty versus excision for Primary treatment of chronic
pilonidal sinus.New Indian J Surg. 2020;11(3):313–318.
 

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Pilonidal sinus is a common chronic benign
surgical condition affecting young males with thick,
coarse body hairs, deep natal cleft and involved in
profession requiring prolonged sitting like drivers..
It is associated with lot of distress and morbidity
leading to loss of wages. There are many different
modalities of surgical treatment of the disease and
simple excision, followed by regular dressing for
secondary healing is most commonly used method.
Present study was designed to compare Z-plasty with
simple excision in chronic pilonidal sinus. Z-plasty
is associated with early healing (16.6 days versus
42.2 days) and low recurrence rate(6% versus 20 %).
However, operating time (62.4 versus 34.8 minutes)
and post-operative stay (8.4 versus 5.9 days) was
slightly prolonged in Z-plasty.


Keywords: Pilonidal sinus; Z-plasty; Sinusexcision; Asymmetrical closure.
 

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Cite this article

Deepak Verma, Nemi Chand, Nikhil Jain et. al., Comparison of Z-plasty versus excision for Primary treatment of chronic
pilonidal sinus.New Indian J Surg. 2020;11(3):313–318.
 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.13220.9

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