Brushing method in the surgical treatment of pilonidal sinus
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Background/Aim: The aim of study is to assess to examine postoperative complications and recurrences and to aim to deter-mine the efficacy of Povidone-iodine soap brushing (PISB) on surgical treatment of pilonidal sinus. Although pilonidal sinus seems like a simple lesion, its treatment may be very difficult because of high postoperative complication and recurrence rates. Material and Methods: Four hundred and fifty patients who were operated for pilonidal sinus between 1997 and 2012 were included in the study. Excision + Povidone-iodine brushing + primary repair in 230 (51%) cases (Brushing group), excision + pri-mary repair in 220 (49%) cases (Surgery group) were applied. Results: While four recurrences (1.8%) were detected in the polyvidon iodine brushing technique, fifty recurrences (22.7%) were detected in the surgery group (p<0.0001). Postoperative complication rates were also lower in the brushing technique group than the surgery group (p<0.0001). Conclusion: It is concluded that excision + Povidone-iodine brushing + primary repair in the treatment of pilonidal sinus may be a preferable method because of lower complication and recurrence rates.