ABSTRACT
To assess the complications, days off work, analgesia requirement and recurrence rate of radical excision and rhomboid flap reconstruction for treatment of sacro-coccygeal pilonidal sinus. Prospective. Al-Amiri Hospital, Kuwait. Two hundred and fifteen patients admitted for surgery of pilonidal sinus. Radical excision of pilonidal sinus with reconstruction using rhomboid flap under general anesthesia in prone position was performed. The patients were usually discharged 24 hours after surgery. Patients were followed up postoperatively for an average of 20 months [range 10-56 months]. They were observed for complications related to the procedure, recurrence, return to work and analgesia requirements. One hundred and seventy eight [82.2%] patients had primary healing, five [2.3%] had recurrence, fourteen [6.5%] had superficial wound infection, eight [3.7%] developed wound seroma and ten [4.65%] developed deep wound infection. The mean duration of follow up was twenty months. The return to work was within two weeks. The analgesia requirement was minimal. Treatment of pilonidal sinus using the rhomboid flap is a simple and safe procedure with low morbidity and recurrence rate