Alaattin Öztürk

Clinic of General Surgery, Adatıp Hospitals, Istanbul, Turkey


Objective: This study aimed to compare the short term results of the marsupialization method for the treatment of patients with acute pilonidal abscess and chronic pilonidal sinus disease treated in single step and to investigate the feasibility of final pilonidal sinus treatment in single step in patients with pilonidal abscess.

Material and Methods: A total of 58 patients who were operated on using the marsupialization method were included in this study. Patients with acute pilonidal abscess were included in Group 1 (23 patients) and those with chronic pilonidal sinus disease were included in Group 2 (35 patients). Pilonidal sinus was excised as a whole by a vertical elliptic incision, with some surrounding intact tissue. After excision, the wound edges were sutured to the postsacral fascia. Daily dressings were performed by relatives at home. The patients were instructed to visit the hospital for follow-up 1-2 times a week. Student’s t-test was used to compare the parameters between the groups.

Results: The mean wound length was 73.4 and 61.7 mm in Group 1 and Group 2, respectively. The mean duration of wound closure was 59.3 and 54.1 days in Group 1 and Group 2, respectively. There was no significant difference between the groups in terms of age, operation time, hospital stay, and duration of wound closure; however, wound length was significantly shorter in Group 2 than in Group 1.

Conclusion: The definitive treatment of acute pilonidal abscess can be achieved in single step by using marsupialization method as well as in patients with chronic pilonidal disease.

Keywords: Pilonidal sinus, pilonidal abscess, marsupialization


Ethics Committee Approval

Marsupialization method can be used safely and effectively in patients with pilonidal abscess as well as in patients with chronic pilonidal disease. However, wound length is slightly shorter in patients with chronic pilonidal. In patients with pilonidal abscesses, the definitive treatment of the disease can be achieved in one step. Acute pilonidal abscess can be treated using the marsupialization method without causing a larger wound and without a longer healing period. (The values are mean with minimum and maximum).

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - A.Ö.; Design - A.Ö.; Supervision - A.Ö.; Materials - A.Ö.; Data Collection and/or Processing - A.Ö.; Analysis and/or Interpretation - A.Ö.; Literature Search - A.Ö.; Writing Manuscript - A.Ö.; Critical Reviews - A.Ö.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.