A simplified operation suitable for most cases of straightforward pilonidal sinus is described in detail, and results of a personal series over 10 years are presented.The operation involves simple excision with closure using deep tension sutures tied over a Telfa or Melolin roll after closing the skin with a separate layer of sutures. it may be carried out in the left or right lateral position or the prone position.The operation is done as a day surgery procedure. 1–2 weeks off work may be necessary. Results compare favourably with other operations.This operation has the advantages of simplicity, minimal post‐operative care and short time off work.
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