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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 8, June 2014 pp 434-437

Research Article

Comparison of outcome of Bascom’s Operation with Wide Excision and Leaving the Wound Open for treatment of Pilonidal Sinus

Anilkumar M Talwade¹, Sanjay Baswaraj Chanda²

^1,2Assistant Professor, Department of General Surgery, BRIMS, Bidar, Karnataka, INDIA.

Academic Editor : Dr. Bhanap P. L.

Introduction: Pilonidal sinus apparently minor condition may present to surgeon with major challenges like delayed wound healing and recurrence. Various treatments have been proposed to treat pilonidal sinus. The exact procedure for an individual patient will depend on surgeon’s preference, the size and complexity of lesions and type of medical facilities, which are available. Aims and objectives: To compare the outcome of Bascom’s Operation with Wide Excision and Leaving the Wound Open for treatment of Pilonidal Sinus. Material and method: In the present longitudinal study two groups were formed. First group was treated with Wide Excision and Leaving the Wound Open for treatment of Pilonidal Sinus and second treated by of Bascom’s Operation technique. Each group was containing 15 cases. All the patients were followed up regularly. Details regarding duration of hospital stay following surgery, duration of wound healing and postoperative complication in both the study groups was recorded and compared for their statistical significance. Results: 15 patients underwent wide excision and leaving the wound open to granulate and 15 patients underwent Bascom’s Technique Procedure. Duration of hospitalization following surgery in the open method was 6.07±1.73 days while in Bascom’s Technique Operation was 8.47±1.89days and the difference was statistically significant. Duration of wound healing following open method was 54.20±3.89 days while in Bascom’s Technique Procedure 25.60±2.38 days and the difference was also statistically significant. No complications encountered in Bascom’s Technique Procedure while there were 3 incidences of wound infection in the open technique. Conclusion:Thus by Virtue of shorter duration of wound healing and minimal complication we consider that Bascom’s Technique Operation as our first choice of surgery for sacrococcygeal pilonidal Sinus as compared to wide excision.