2.5.2. Excision and primary closure
A complete excision of the sinus tracts was performed down to the sacral
fascia. Following the hemostasis, a penrose drain was placed on the
sacral fascia. Subcutaneous and cutaneous layers were closed absorbable
sutures. On the first postoperative day, the penrose drain was removed,
and early mobilization with small steps was initiated.
All the surgeries were performed by two surgeons who had more than ten
years’ experience in PSD surgery. Hair removal did not continue
postoperatively for the patients. The postoperative antibiotics were not
administered routinely. Patients were discharged with diclofenac sodium
75 mg twice daily on the first postoperative day. All patients were
examined third and seventh day postoperatively. All short term
complications were treated with appropriate modalities, included wound
care and antimicrobial therapy for the wound-site infection, drainage
and antimicrobial therapy for the abscess, and puncture with an
injection syringe for the seroma. The patients were followed-up for the
recurrence by the outpatient follow-up visit, or by the telephone
contact if there was no available data about the patient’s follow-up
visit.