Although there are many methods for the surgical treatment of pilonidal sinus disease, the number of studies specific to women is limited in the literature. In addition to post-treatment recurrence and complication rates in women, aesthetic results are also of great importance. This study will compare the Karydakis procedure, a flap method, and the Bascom's pit-pick procedure, a minimally invasive procedure, in terms of recurrence, complications and aesthetics, especially in female patients with three or fewer pits.
Female patients 18 years old and older
Diagnosed with pilonidal sinus disease, having 3 or fewer pits.
No previous surgical treatment for pilonidal sinus.
Under 18 years of age
Pregnancy
Presented with acute abscesses
Patients with recurrent disease, Stage-R.
Female patients aged 18 and older with pilonidal sinus disease and three or fewer pits, with no previous surgical treatment.
Case-only
Prospective
Pilonidal sinus surgery
Procedure/SurgeryBascom's Pit-Pick procedure, Primary Closure, Karydakis procedure
Recurrence Rate
This measure evaluates the rate of pilonidal sinus disease recurrence in female patients undergoing Karydakis flap or Bascom's pit-pick surgical procedures over a 12-month period. Recurrence is defined as the reappearance of disease symptoms after the wound has completely healed.
Complication Rate
This measure records the incidence of postoperative complications such as infections (superficial or deep), seromas, hematomas, wound dehiscence (partial or complete), and anesthesia-related complications within the first 30 days post-surgery.
Aesthetic Outcome (Visual Analog Score for pain)
Assessment of aesthetic outcomes using the Visual Analog Scale (VAS) for pain. The VAS is a scale from 0 to 10, where 0 represents no pain and 10 represents the worst possible pain. Higher scores indicate worse outcomes.
Healing Time
This measure records the time required for complete wound healing post-surgery, defined as the integrity along the incision line without any complications.
Functional Recovery
This measure assesses the time taken for patients to resume daily activities comfortably.
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