Definitive surgical procedures for complete removal of pilonidal sinus and prevention of recurrence.
Complete removal of the sinus tract followed by immediate closure of the wound. Suitable for simple cases.
Sinus tract removal with open wound left to heal naturally. Lower recurrence rate but longer healing time.
Advanced techniques like Limberg or Karydakis flap where skin is rearranged to eliminate the natal cleft.
Minimally invasive laser ablation of sinus tracts with reduced postoperative pain and faster recovery.
Most procedures require 2-4 weeks recovery. Proper wound care and activity restrictions are essential.
