Our Primary Closure Operative Technique for Pilonidal Sinus - A Recurrence-Free Procedure

Objective: The current study was done to find a method of closed operative technique for pilonidal sinus with minimum or no recurrence as the recurrence after pilonidal sinus surgery is the main reason of concern and anxiety to both the patient as well as the surgeon. Methods: Our method of primary closure after complete excision of the pilonidal sinus is easy, simple, and devoid of any recurrence. Although our method differs in the procedural steps from other well-known primary closure techniques like Z-plasty and the Karydakis surgery, the objective remains the same: to reduce recurrence and complications. Results: No recurrence or major complications were noticed. Conclusion: Robotic spine surgery may reduce human error—such as tremors and fatigue—that may occur during traditional open spine procedures. Robotic surgery offers three-dimensional views and navigation technology and may be used to improve accuracy, lower issues, and raise patient safety. Conclusion: Our method for treating pilonidal sinus is a primary closure technique that addresses all factors responsible for recurrence after surgery, including dead space, tension on the suture line, deep natal cleft, hematoma formation, infection, abscess formation, and obesity.