Introduction: Pilonidal disease in sacrococcygeal or intergluteal region is an acquired chronic inflammatory disorder with superimposed infection. It is commonly seen in young hairy individuals and usually presents as an abscess or a painful sinus tract in the natal deft with sero/purulent discharge. Aims and Objectives : The objectives of the study were to assess and compare different surgical techniques in the management of pilonidal sinus disease. Materials and Methods This retrospective study was conducted in the Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya (D), from August 2018 to January 2020. Results During the study period, 30 patients were enrolled, 22 patients were male and 8 were female, with a mean age of 24.3 years. The mean operative time for primary closure was 61 min and flap reconstructions were 70 min with mean hospital stay of 8 and 6 days, respectively. The mean time to walk without pain is 30 and 12 days, respectively. Wound dehiscence was noted in a patient with primary closure. No recurrence was noted for a mean follow-up period of 6 months in any patients. Conclusions: Flap reconstructions were superior to primary closure after excision of pilonidal sinus and that modified Limberg flap was superior with regard to wound infection and recurrence for pilonidal disease.

Introduction: Open excision is one of the simple surgical techniques for the correction of pilonidal sinus, in the recent times, the rhomboid excision with limberg flap is being practiced commonly due to increased patient’s satisfaction, reduced pain, etc. Aim: To assess the surgical outcome of open excision and rhomboid excision with limberg flap for the correction of pilonidal sinus. Materials and Methods: A hospital-based cohort study was done among patients with pilonidal sinus requiring surgical treatment, in Department of Surgery in Adichunchangiri Institute of Medical Sciences and Research Centre, B.G. Nagar, Bellur, Mandya District, Karnataka, India. The study was conducted during June 2018 to December 2019. Participants who underwent open excision were included in group A (n=40) and rhomboid excision with Limberg’s flap were included in group B (n=40). Patients were followed-up for a period of one month. The key outcome assessed were mean duration of surgery, pain during the first three postoperative days, time taken for discharge and return to work, complications and patients satisfaction. Analysis was done using Statistical Package for Social Science (SPSS) version 20.0. Results: Rhomboid excision with Limberg’s flap was found to be significantly better than open excision method in terms of pain, duration of hospital stay, time taken to return to profession, patient’s satisfaction and overall complications but there were no significant difference noted with respect to individual complication and duration of time taken for surgical procedure. Conclusion:RhomboidexcisionwithLimberg’sflapiscomparatively better than open excision.