Recurrent Pilonidal Sinus: Secret of Recurrence

The study discussed the challenges in treating recurrent pilonidal sinus, a condition characterized by sinus formation in the natal cleft, often requiring multiple surgeries. The case involved a 29-year-old male who had undergone three unsuccessful operations. The author proposed that recurrence could be due to congenital skin abnormalities, improper hair growth, or inadequate cleaning. The treatment involved excising the sinus track and ensuring proper wound care, including hair removal around the natal cleft, which was crucial for healing. The closed surgical technique used showed promising results, with complete healing observed one week after hair removal. The study concluded that thorough cleaning and hair removal are essential for effective treatment and prevention of recurrence.