SKIN GLUE IMPROVES OUTCOME AFTER EXCISION AND PRIMARY CLOSURE OF SACROCOCCYGEAL PILONIDAL DISEASE

Aim: Evaluating the effect of Histoacryl on the outcome and recurrence rate after excision and primary closure of sacrococcygeal pilonidal disease. Methods: Forty patients with sacrococcygeal pilonidal sinus were randomly divided into 2 equal groups through computer randomization program. Group I was operated by complete excision of sinus with wound closure using His toacryI. Group II was operated with primary wound closure by interrupted inverting sutures. Results: Mean operative time was 31.S±S.6minutes in group I and 35.9±S.1 minutes in group II. Mean healing time was 13.4±2.7 days in group I and 18.0±8.9days in group II. Wound infection occurred in 2 patients (10%) in Group II. Delayed wound healing occurred in 3 patients (15%) in group I and 4 patients (20%) in group II. Recurrence occurred in 1 patient (5%) in group I and 3 patients (15%) in group II. Conclusion: Histoacryl improves outcome (significantly decreases operative and healing times and increases patient satisfaction score, insignificantly decreases rates of complications and recurrence) after excision and primary closure of sacrococcygeal pilonidal disease