I'm a final year MBBS student dealing with a pilonidal sinus and my doc recommended ID treatment but I'm torn between wide excision and rotation flap surgery. Which one would be better for long-term recovery and less chance of recurrence? I'm really stressed about making the right choice

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Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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For a long-term recovery and lower recurrence rate in pilonidal sinus treatment, the rotation flap surgery (Limberg flap) is generally preferred over wide excision. While wide excision can be effective, it often involves a longer healing time and a higher chance of recurrence due to the nature of the wound in the natal cleft. Rotation flap procedures, like the Limberg flap, offer better wound closure, reduced recurrence rates, and generally quicker healing times

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Answered 14/08/2025

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12 years ago I had surgery for a pilonidal sinus, but now the problem has come back. I'm really worried is there a permanent solution for this? The recurring pain is bothering me a lot, and I don't want to keep dealing with it. What options do I have?

Recurrent pilonidal sinus often needs surgery for permanent resolution. Laser excision or cleft lift surgery offers better long-term results than traditional excision methods.

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YES, you can

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A detailed evaluation will help decide the best course of action.

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