Trends in Surgical Treatment of Pilonidal Sinus Diseases: Primary Closure or Flap: Reply

Excerpt

In our recent article [1], the results of tension-free primary closure and of the Limberg flap were similar. These results have caused immediate comment [2, 3]. Azizi et al. [4] reported no recurrence at 1-year follow-up after performing the Limberg flap procedure. In addition, there are studies that reported a 1 % recurrence rate after flap reconstruction for pilonidal sinus [5] in our country. Therefore, flap reconstruction is a highly chosen procedure. However, as Azizi et al. [4] reported, there is no consensus among surgeons about the ideal treatment method. There are successful results for primary closure but the choices of surgeons show variability in the treatment method. …