Background : Pilonidal disease incidence is increasing ) 26 people per 100,000 (aged 18 - 40 years old. As a matter of fact, this age range is the most optimal time of anindividual social and economic activities. Thus it was decided to assess the prognosis in patients with pilonidal sinus surgery in Shohada hospital of Khorramabad during 2005-2012. Materials and Methods: In a retrospective cohort study by referring to the archives of Khorramabad Shohada hospital and receiving records and contact numbers of the patients undergoing pilonidal sinus surgery( primary closure versus open delayed closure), variables such as age, gender, personal history of previous illnesses, surgical procedure used, complications after treatment and etc. were statistically analyzed and evaluated. Results: It was reported that all patients treated with primary closure surgery method, compared to the open healing ( 50% of patients ) had deep satisfaction (P= 04.0 in female patients and P= 002.0 in male patients). The most common complication of the primary closure, was bleeding from the position. While in patients with open healing, most patients complain of long term pain of surgery position, as well as local infection, bleeding and recurrent pilonidal sinus, respectively (P = 024.0 in female patients and P= 000.0 in male patients). Conclusion: According to the results the most common complications after pilonidal disease, were related to open delayed closure procedure, which keeps the patients to be aloof from social and economic activities.

Keywords: Pilonidal sinus, Prognosis, Complications, Khorramabad.

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