Simple Closure and Rhomboid Flap Closure for Pilonidal Sinus Disease

Abstract

Background: sacrococcygeal pilonidal disease is a common and frustrating problem, surgical  and nonsurgical methods have been described for treatment of pilonidal disease, however the optimal treatment has yet to be found. There’s variety of surgical procedures for managing this  disease such as simple primary closure and rhomboid flap closure. Aim of the Study: to compare the outcome of simple excision with primary closure vs. excision and closure with rhomboid flap. Methodology: prospective study conducted at Shar Educational hospital/ Sulaymaniyah/ Iraq  and involved 50 patients that were randomly divided into two equal groups: Group A: undergo  simple primary closure, Group B: submitted to rhomboid flap closure. Results: the mean age of the study sample (n=50) was 28.67 ± 6.29 years with male  predominancy, the mean operative times was 40.34 minutes for group A and 53.91 minutes for  group B, Patients who undergo rhomboid flap procedures reported lower postoperative pain,  earlier surgical drain removal, shorter post operative hospital stays, quicker return to daily  activities with lower post operative complication and recurrence rate compared to group A  patients. Conclusions: rhomboid flap procedures offer several potential advantages over simple closure  surgeries despite longer operative time including lower postoperative pain levels, shorter  hospital stays, quicker return to daily activities, and lower rates of postoperative complications.