Hüseyin BAYHAN, Sezai LEVENTOĞLU
Annals of Clinical and Analytical Medicine - 2026;17(6):617-621
Aim: Recurrence and complications are significant postoperative problems in pilonidal sinus (PS) surgery. This study investigated the relationship between resection margins and scaphoid flap width in PS surgery using a modified Limberg flap and cleft lift technique. Methods: The study included 104 male and female patients aged 18 years and older diagnosed with chronic and primary pilonidal sinus. Patients in one randomly selected group underwent split corneal lift (n = 52), and patients in the other group underwent modified Limberg flap (n = 52). Results: Operation duration, drain duration, hospitalization duration, and normal activity duration differences between patient groups were statistically significant (p<0.05). In the 1st week after the operation, maceration and wound dehiscence in the cleft lift group were 3.8%, whereas 17.3% in the modified Limberg flap, with statistically significant differences (p < 0.05). Maceration at the 2nd week rate was 5.8% in the cleft lift group and 13.5% in the modified Limberg flap, with a statistically insignificant difference (p>0.05). Recurrence rate at 6th month was 1.9% in the cleft lift group and 3.8% in the modified Limberg flap group, and the difference was insignificant (p > 0.05). Conclusion: There was no difference in the recurrence rate during the first year after surgery between the two surgical techniques. The cleft corneal lift technique showed more favorable patient outcomes in terms of early postoperative wound dehiscence, maceration, time to vacuum drainage removal, duration of surgery, length of hospital stays, and return to normal activities.
