The New Minimally Invasive Techniques for Pilonidal Sinus Disease Surgery: Choosing the Right Technique for the Right Patient-A Narrative Review.

( Table 4 ) [ 63 ], midline closure was associated with higher infection risk compared to off-midline primary closure or flap procedures (RR 2.75, 95% CI 1.83–4.13), while recurrence differences at 12 months did not reach statistical significance (RR 2.32, 95% CI 0.98–5.45).

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