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Objective: The aim of this study is to compare the results\udof four different surgical techniques used for pilonidal sinus.\udMethods: A total of 339 patients who underwent surgery\udfor pilonidal sinus between Januray 2000 and April 2008\udwere evaluated prospectively. The patients were operated\udwith one of four surgical techniques: excision and primary\udclosure (n=76), excision and marcupialisation (n=112),\udexcision without closure (n=104) and excision and Limberg flap (n=47) techniques. Postoperative complications (hematoma and infection) and recurrences in four groups were compared.\udResults: 286 male patients and 53 female patients were\udincluded in this study. Mean age of patients was 24.2 (14-\ud57) years. The mean follow up time was 41 months. The\udrecurrence rates after excision and primary closure, excision and marcupialization, excision without closure and excision and Limberg flap were 18.4%, 13.4%, 9.6% and %4.3%, respectively. There were not significant differences in postoperative hematoma between four groups.The postoperative infection rate in patients treated with excision without closure was the lowest but time to re\udturn to work was highest in this group partients. Patients with infection had higher rates of recurrence than patients without infection.\udConclusion: Although optimal surgical technique has not\udbeen established according to our study, Limberg flap is\udpreferable technique as compared to other techniques\udbecause of quicker healing time and decreased rates of\udrecurrence

Comparison of four different surgical techniques in cases with pilonidal sinus