Managing Pilonidal Sinus Recurrence: A Clinical Perspective

Recurrence of pilonidal disease arises when residual tracts persist or new sinuses form due to hair, friction, infection, or inadequate healing. Typical symptoms are pain, swelling, discharge, and sensitivity. Techniques such as off-midline flaps and laser or endoscopic methods yield lower recurrence rates than midline closures. Prevention demands perfect surgical technique, careful wound management, hair removal, reduced sitting, breathable clothing, and attentive follow-up to detect and address minor recurrences before they worsen.

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