Abstract
Background: The attention of surgeons to pilonidal sinus disease is increasing. We aimed to estimate the incidence of Pilonidal sinus disease, and verify the employed management and its outcome in term of surgical site infection, recurrence and patients' satisfaction. Methods: A cohort study included 224 patients with pilonidal sinus disease (Jan 2014 to April 2020). Results: Mean age was 23.83 +/- 4.9 years, with male predominance (male to female ratio of 2.25:1). Incidence of pilonidal sinus disease was 2.9% of all surgical clinic population. Mean duration of symptoms was 65.8 +/- 50.7 days. Majority (80.8%) had chronic pilonidal sinus, whereas the remainder 19.2% had acute onset with abscess. In pilonidal sinus the surgical modality was fashioned according to the extent of the disease keeping in mind the number of sinus opening in form of Limberg flap (44.2%), primary closure (19.6%), or laid open to heal by secondary intention (17%). Recurrence of pilonidal sinus was seen in 2.2% and not affected by the procedure employed (P = 0.4). Whereas, in cases of pilonidal abscess the recurrence rate was 27.9%. The difference was significant (p = 0.00001). Over all patients' satisfaction was very good/excellent in 187 (83.4%). Conclusions: To reduce congestion of the operating lists in central hospitals, one can use a clear criterion based on the extent of the disease and the number of sinus openings, this will facilitate the management of pilonidal sinus disease in peripheral hospital settings, and comparable results can be achieved in terms of recurrence rate and patient satisfaction.