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August 10, 2026CureusOpen Access

Surgical Management of Pilonidal Sinus: A Comparative Study of Excision, Limberg Flap, and Keystone Flap Reconstruction

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Authors

MPMonya PunyoMYMoorat Singh YadavAll India Institute of Medical Sciences BhopalDKDeepak Krishna

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Implication

Prospective comparative observational study evaluates outcomes of excision and flap reconstructions in young adults, suggesting superior long-term benefits for flap techniques.

Key Points

  • This study aims to evaluate and compare surgical techniques for managing pilonidal sinus disease, focusing on recurrence and quality of life.
  • Prospective comparative observational study with 46 patients
  • Interventions included simple excision, Limberg flap, or Keystone flap reconstruction
  • Outcomes assessed included operative time, complications, healing duration, and QoL metrics
  • Flap procedures had longer operative time and hospital stay (p < 0.001)
  • Recurrence rate was 13.3% in simple excision group, not seen in flap procedures (p < 0.001)
  • Flap techniques demonstrated superior scar outcomes and higher patient satisfaction (p=0.002)

Cite This Study

Punyo et al. (2026) studied this question.

synapsesocial.com/papers/6a797d089c20a9bbd31841c3https://doi.org/10.7759/cureus.114137
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pilo-Nidal Sinus1880 · 233 citations
  2. 2Rating the Burn Scar1990 · 846 citations
  3. 3Pilonidal sinus disease: Review of current practice and prospects for endoscopic treatment2020 · 77 citations
  4. 4Comparison of Short-term Results Between the Modified Karydakis Flap and the Modified Limberg Flap in the Management of Pilonidal Sinus Disease2013 · 86 citations