Comparing two surgical techniques for pilonidal sinus disease, midline closure without skin sutures showed significant advantages over excision and primary closure. Patients in the midline closure group experienced shorter surgical procedures, hospital stays, and time to return to work. Additionally, they had lower complication rates and no recurrence during a five-year follow-up period. This technique may be ideal for patients with midline sinus orifices.
Multicenter Study by Tas H and Karahan F in An Sist Sanit Navar