Comparative Analysis of Primary Closure, Rhomboid Flap, and Open Technique in Pilonidal Sinus Surgery: A Retrospective Cohort Study

March 13, 2026Trends in Surgical SciencesOpen Access

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Key Points

To compare the effectiveness of different surgical techniques for pilonidal sinus disease outcomes.
Retrospective cohort study including 300 patients from December 2024 to January 2015.
Patients categorized into three groups: primary closure, rhomboid flap, and open excision, each with 100 patients.
Analyzed factors included operative time, postoperative pain, length of stay, healing time, return to work, complications, recurrence, and patient satisfaction.
Analysis revealed varying rates of complications and recurrence across techniques.
Postoperative pain levels differed among the groups, influencing patient satisfaction.
Time to complete healing and return to work varied significantly based on the surgical technique employed.

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Retrospective cohort study assesses surgical management effectiveness in pilonidal sinus disease, focusing on recurrence and postoperative pain.

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Sayed et al. (2026) studied this question.

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