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Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 119-122

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

General Surgery Department, Rashid Hospital, Dubai, United Arab Emirates

Correspondence Address:
Labib Al-Ozaibi
General Surgery Department, Rashid Hospital, Dubai
United Arab Emirates
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Source of Support: None, Conflict of Interest: None

DOI: 10.7707/hmj.330

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The effectiveness of a modified Lord–Miller 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 Lord–Miller 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 12–32 months (median: 17.5 months). Three patients (6.8%) developed wound infection. Complete healing was achieved in 2–7 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 Lord–Miller procedure was shown to be highly effective in treating complicated pilonidal sinus with a low recurrence rate.

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