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.