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May 7, 2026Indian Journal of Colo-Rectal SurgeryOpen Access

Surgical Intervention and Outcome of Patients with Sacrococcygeal Pilonidal Sinus Disease

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Authors

TKTahir Ahmad KhanSher-i-Kashmir Institute of Medical SciencesSBShams ul BariSher-i-Kashmir Institute of Medical SciencesAMAjaz Ahmad MalikSher-i-Kashmir Institute of Medical Sciences

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Implication

Prospective observational study compares surgical techniques for pilonidal sinus, revealing Z-plasty optimizes patient satisfaction and reduces recurrence.

Key Points

  • To compare outcomes of various surgical procedures in managing pilonidal sinus disease regarding effectiveness and patient satisfaction.
  • Conducted as a prospective observational study over 2 years
  • Included 86 patients with different surgical interventions: Karydakis flap, primary excision, Limberg flap, Z-plasty
  • Outcome parameters measured included operative time, complications, pain scores, and patient satisfaction.
  • Primary excision had the shortest operative time but highest recurrence (28%) and lowest satisfaction (71%)
  • Flap techniques (Z-plasty, Karydakis) exhibited 3% recurrence with Z-plasty showing highest satisfaction (95%)
  • Limberg flap showed highest morbidity with 14% altered sensation and elevated early pain.

Cite This Study

Khan et al. (2026) studied this question.

synapsesocial.com/papers/69fbe2b3164b5133a91a2155https://doi.org/10.4103/ijcs.ijcs_53_25
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1EASY AND SUCCESSFUL TREATMENT OF PILONIDAL SINUS AFTER EXPLANATION OF ITS CAUSATIVE PROCESS1992 · 634 citations
  2. 2The Use of Negative-Pressure Wound Therapy in Pilonidal Sinus Disease2014 · 110 citations
  3. 3Comparison of postoperative quality of life of Limberg flap and Karydakis flap in pilonidal sinus operations2020 · 17 citations