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Modified Lord–Miller procedure – less is more effective in treating pilonidal sinus

Labib Sallam Al-Ozaibi, Wessam Issa Hazim, Alya Al-Mazrouei, Faisal AL-Badri, Ali Al-Ani
Published in : HAMDAN MEDICAL JOURNAL ; Vol 8, No 1 (2015)
DOI : 10.7707/hmj.330

Abstract


The effectiveness of a modified LordMiller procedure in the management of pilonidal sinus disease, in terms of wound complications, healing rate and recurrence, was assessed. This is a retrospective study of 44 patients with simple and complicated pilonidal sinus disease, operated on using a modified LordMiller procedure from September 2011 to May 2013. Patients were seen in the clinic once a week until completely healed, and again 1 year after surgery. Patients were observed for complications and recurrence. A total of 23 (52%) sinuses were complicated. A total of 21 (48%) patients had a history of previous surgery. All the patients were followed for a period of 1232 months (median: 17.5 months). Three patients (6.8%) developed wound infection. Complete healing was achieved in 27 weeks (mean: 3.6 weeks). The disease recurred in 2 (4.5%) patients, and 42 (94.5%) of the patients were completely cured. A total of 37 (84%) cases were carried out as day case surgery. A modified LordMiller procedure was shown to be highly effective in treating complicated pilonidal sinus with a low recurrence rate.

 


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