Mohamed Nada ,Tamer M S Salama *
Background: Pilonidal sinus is chronic inflammatory condition that usually affects young adults, despite of the current advances in the field of medical research the best approach in managing Pilonidal sinus disease is not yet well defined. This study aims to evaluate a new technique for the excision of pilonidal sinus and investigates its effectiveness in terms of operation time, healing time, and the duration of hospitalization, the degree of postoperative complications and rate of recurrence Methods: One hundred patients (93 males and 7 females) suffering from uncomplicated pilonidal sinus disease, underwent this new technique for pilonidal sinus excision. This technique based on lay open all visualized main and sides tracks of the sinus followed by excision of the whole area and closing underneath fascia and subcutaneous tissue Results: The mean duration of intervention was 40 minutes and patients were discharged one day after the operation.The mean time for recovery and return to normal physical activity was 12 days (There were no intraoperative complications or mortalities in all cases). Minor wound infection was the most common complication found as it occurred in 15 cases .Only 3 out of the 100 cases had recurrence. Finally, the overall patients satisfaction was more than 95%. Conclusion: From our experience, this technique possesses all the criteria for ideal pilonidal sinus surgery as it is associated with short hospital stay, fast wound healing, low recurrence rate and minimal complications.