[Treatment of pilonidal sinus. Our experience]

Area of Science:

• Surgical techniques
• Proctology
• Wound healing

Background:

• Pilonidal cysts and fistulas are common conditions requiring surgical intervention.
• Various surgical approaches exist, each with potential benefits and drawbacks.
• Optimal surgical management aims to minimize recurrence and improve patient outcomes.

Purpose of the Study:

• To evaluate and compare the outcomes of different surgical techniques for pilonidal disease.
• To identify the most effective surgical method for treating pilonidal cysts and fistulas.
• To analyze the reasons behind the preference for the closed surgical method.

Main Methods:

• Retrospective analysis of 167 patients with pilonidal cysts and fistulas.
• Comparison of three surgical techniques: closed, semi-closed, and open methods.
• Assessment of surgical outcomes, including recurrence rates and healing times.

Main Results:

• The closed method demonstrated significantly better results compared to semi-closed and open techniques.
• Patients undergoing the closed method experienced faster recovery and lower complication rates.
• Recurrence rates were lowest in the group treated with the closed surgical approach.

Conclusions:

• The closed surgical technique is recommended as the preferred method for managing pilonidal cysts and fistulas.
• The findings support the efficacy of the closed method in achieving favorable long-term outcomes.
• Further research may explore long-term efficacy and patient-reported outcomes for the closed method.