Prognosis

Recurrence of pilonidal disease is prevalent and is dependent on the surgical technique chosen.[4]​

  • Incision and drainage: up to 55%

  • Phenol injection: 8% to 9%

  • Fibrin injection: 5% to 29%

  • Excision with healing by secondary intention: 2% to 42%

  • Karydakis flap: 0% to 6%

  • Rhomboid (Limberg) flap: 0% to 24%

  • Bascom cleft-lift: 0% to 11%

  • Sinusectomy (trephination/Gips procedure): 0% to 16%

  • Endoscopic pilonidal sinus treatment: 0% to 15%

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