Comparison of 3 different techniques in the treatment of pilonidal sinüs

Abstract

Purpose: It was aimed to compare the surgical excision and primary suturing, liquid phenol application and laser application in pilonidal sinus (Ps). Methods: The files of 358 patients diagnosed with Ps in the years 2019-2022 were retrospectively evaluated. The patients were divided into 3 groups. Group 1 consisted of 125 patients who underwent surgical excision and primary suturing in 2019, group 2 of 194 patients who underwent liquid phenol in 2020-2021, and group 3 of 39 patients who underwent laser in 2022. Results: A significant correlation was found between the groups and the development of infection (p<0.05). There was no statistically significant relationship between the groups and recurrence (p>0.05). A significant correlation was found between infection and recurrence (p<0.05). Recurrence is positive in 6.3% of infection-negative patients and 47.2% of infection-positive patients. Conclusions: Rapid recovery, short operative time, low complication and recurrence rates have increased the tendency for minimally invasive methods. The presence of infection may cause recurrence regardless of the method.