Pilonidal Sinus Disease: A 10-Year Review Reveals Occupational Risk Factors and the Superiority of the Minimal Surgery Trephine Technique

Male combatants and female drivers are at higher risk for PSD, whereas officers and administrative personnel are at lower risk. Compared with surgical techniques used at public hospitals, the Army Clinic exclusive use of the Gips minimal surgery technique is associated with fewer sick leave days. Prior surgery for PSD is a positive predictor of recurrence, and these patients warrant secondary prevention.