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

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

Mohamed Sayed et al · Atatürk University · 2026

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Autor / responsable

Mohamed Sayed et al

Editorial

Atatürk University

Año

2026

ISSN

3062-3308

ISSN

3062-3308

Idioma

eng

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Objective: Pilonidal sinus disease (PSD) is a common condition in young adults, with multiple surgical options available. The optimal technique remains debated due to trade-offs between recurrence, healing time, and patient satisfaction. This study aims to compare outcomes of primary closure, rhomboid flap, and open excision in the surgical management of PSD. Methods: A retrospective cohort study was conducted on 300 patients treated between December 2024 and January 2015. Patients were grouped by technique: primary closure (n = 100), rhomboid flap (n = 100), and open excision (n = 100). Baseline characteristics, operative time, postoperative pain (VAS), length of stay, time to complete healing, Time to return to work , complications, recurrence, and satisfaction were analyzed. Statistical tests included Kruskal–Wallis for continuous variables and Chi-square for categorical variables (P

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APA 7

al, M. S. E. (2026). Comparative Analysis of Primary Closure, Rhomboid Flap, and Open Technique in Pilonidal Sinus Surgery: A Retrospective Cohort Study. https://doi.org/10.61745/tss.1870508

MLA

al, Mohamed Sayed et. "Comparative Analysis of Primary Closure, Rhomboid Flap, and Open Technique in Pilonidal Sinus Surgery: A Retrospective Cohort Study." 2026. https://doi.org/10.61745/tss.1870508.

Chicago

al, Mohamed Sayed et. 2026. "Comparative Analysis of Primary Closure, Rhomboid Flap, and Open Technique in Pilonidal Sinus Surgery: A Retrospective Cohort Study.". https://doi.org/10.61745/tss.1870508.

Harvard

al, M. S. E. 2026, Comparative Analysis of Primary Closure, Rhomboid Flap, and Open Technique in Pilonidal Sinus Surgery: A Retrospective Cohort Study, Atatürk University, available at: https://doi.org/10.61745/tss.1870508 [Accessed 29 Jun. 2026].

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

Autor / colaboradores: Mohamed Sayed et al

Editorial: Atatürk University

Año de publicación: 2026

ISSN: 3062-3308

ISSN: 3062-3308

Idioma: eng

Materias

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Pilonidal sinus; rhomboid flap; primary closure; open excision; recurrence; wound healing