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A scoring system as a method to evaluate pilonidal sinus disease to make an easy decision for its management
Awad, Mohamed M.S.; Elbaset, Amr Abd; Ebraheem, Samir; Tantawy, Esmael; Elhafez, M. Abd & Elsayed, Atia M.
Abstract
This study was planned to evaluate prospectively the results of 150 patients with pilonidal sinus treated surgically after planning a score system. The aim was to choose the proper technique for the proper pilonidal sinus disease. From November 2002 to December 2006, 150 patients
[130 male, 20 female; average age = 22.65 ± 4.2 (range, 15-46) years] with primary or recurrent pilonidal sinus diseases, operated under spinal anaesthesia or general anaesthesia. All patients were classified into three groups A, B and C. According to the clinical presentations we had three groups of patients: Group A with a score number n = 8 to 10, Group B with a score number n = 11 to 13, and Group C had the number n = 14 to 16. The study helped us in our surgical decision making, particularly in choosing the type of surgery for a given patient by our new scoring system, with promising results and low failure rate.
Keywords
Pilonidal sinus; Recurrent sinuses; Scoring system
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