Pilonidal sinus is a disease which was caused by hair balls nested under the skin at coccyx. It doesn’t cause any complaint and come through with a rash, swelling and pain apse. It could cause flix. Operation is needed after discharging the apse if available.
Application external surgery such as Phenol injection, scalping, silver nitrate for the situations which there is no apse could be applied. Relapse ratio is significantly higher at these methods. Microsunusectomy (removing sinus from a small cutting) removed and leave open, than stitched and turning flap methods could be applied by surgically. Relapse ratio is quite low in these methods and the maximum flap method where patient satisfaction is higher too.