Rhomboid Flap vs. Deep Suturing in Recurrent Pilonidal Sinus

Inclusion Criteria: * Adult patients aged between 18 and 60 years; * Patients with one or two small inactive sinuses will be included for easier excisional procedures; * Previous intervention for pilonidal disease whether surgical or non-surgical; Exclusion Criteria: 1 - Patients with an acute abscess. 2- Patients with mall inactive pilonidal sinus disease. 3- Age beyond the previous limits. 4- Patients with primary pilonidal disease. 5- Refusal to participate in the study. 6- Unfit for anaesthesia and surgery. 7- Patients with malignant neoplasms or inflammatory bowel disease.