Aim: Pilonidal disease is a common disorder of the sacrococcygeal region. Various techniques have been used but no 
method provides the ideal treatment. This study was done to establish to what degree pilonidal sinus could be treated 
with limited excision and primary closure. 
Methods: 39 patients with chronic pilonidal sinus were treated by limited excision and primary closure between July 
2005 and January 2008 by the authors at general surgery department Mansoura University Hospital. They were followed 
up in the early postoperative period and thereafter for 12 to 30 months. 
Results: One patient had mild seroma, another one developed irregular scar with accepted healing outcome. All patients 
were discharged from hospital in the 2nd postoperative day. . Operative wounds healed in a period ranged from 12-22 
days. The postoperative follow-up now ranges from 12 to 30months, and no recurrences have been recorded so far. 
Conclusion: Limited excision of Pilonidal Sinus represents a good therapeutic option for treatment of pilonidal sinus 
This method has the advantages of having a low morbidity, short hospital stay, early return to work ,no recurrence and 
good long-term results.