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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 12, Issue 3, September 2014 pp 522-525
A study of Clinicopathological aspects of Pilonidal Sinus
Anilkumar M Talwade1, Sanjay Baswaraj Chanda2
1,2Assistant Professor, Department of General Surgery, BRIMS, Bidar, Karnataka, INDIA.
Introduction: Pilonidal Sinus is a painful condition usually occurring in the intergluteal region, which consists of a Sinus or fistula, situated a short distance behind the anus and generally containing hair. Pilonidal Sinus has its peak incidence between 16-20 years of age and it decreases after age of 25 years it is rare after 45 years. Pilonidal Sinus occurs predominantly in men 80%. All races can develop the disease, but it seems more common in those with dark, stiff hair and hirsute individuals. However, Pilonidal Sinus can also occur in relatively hairless types. Aims and objective: to study the Clinicopathological aspects of Pilonidal Sinus. Materials and Method: In the present cross sectional study 30 patients of pilonidal sinus were enrolled. Detail history containing age, sex and occupation of the all the patients was noted in prestructured proforma. The main presenting symptoms were also noted. Routine general physical examination was done with special attention towards body hair distribution. On local examination site of the Pilonidal Sinus was confirmed, number of sinuses, presence of tenderness, discharge, any hair protruding from the sinuses and the condition of the surrounding area for indurations was examined. All patients also underwent digital rectal examination and proctoscopy. Results: 56.66% of patients were between 16-25 yrs of age. 70% were males. Labourers form the most common group constituting 40% of our patients followed by students. 24 (83.33%) of our patients were hairy individuals of which 18 were males and only 6 patients were hairy females. Discharge was the most common symptoms in the study being present in all patients. It was followed by pain (56.67%). Most common presentation being swelling and discharge from intergluteal region present in 20 (66.66%) of patients. Sinus was present in all patients (100%) and some form of discharge was seen in 86.7% patients. Conclusion: thus we conclude that pilonidal sinus is often very painful and associated with discharge and typically occurs in young hairy males.