Findings

What do systematic reviews say?

3 questions · 3 findings · 1 reviews · Wounds

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No studies found 0 · 0%GRADE not reported 0 · 0%Very low 1 · 33.3%Low 1 · 33.3%Moderate 1 · 33.3%High 0 · 0%

Summary of findings table ‐ Off‐midline closure vs tension‐free midline closure

Recurrence · pilonidal sinus

It is very uncertain whether summary of findings table ‐ Off‐midline closure changes recurrence rate compared with tension‐free midline closure (very low certainty).

1 finding from 1 review

Midline and off‐midline wound closure methods after surgical treatment for pilonidal sinus 2024 · Cochrane Headline outcomes only
RR 0.69 [0.3, 1.61]
6 studies · 551 participants
Very low

Summary of findings table ‐ Off‐midline closure vs conventional midline closure

Recurrence · pilonidal sinus

Summary of findings table ‐ Off‐midline closure probably leads to lower recurrence rate compared with conventional midline closure (moderate certainty).

1 finding from 1 review

Midline and off‐midline wound closure methods after surgical treatment for pilonidal sinus 2024 · Cochrane Headline outcomes only
RR 0.22 [0.11, 0.45]
13 studies · 1492 participants
Moderate

Summary of findings table ‐ Off‐midline closure (Karydakis flap) vs off‐midline closure (Limberg flap)

Recurrence · pilonidal sinus

Summary of findings table ‐ Off‐midline closure (Karydakis flap) showed no clear difference in recurrence rate compared with off‐midline closure (Limberg flap) (low certainty).

1 finding from 1 review

Midline and off‐midline wound closure methods after surgical treatment for pilonidal sinus 2024 · Cochrane Headline outcomes only
RR 1.14 [0.61, 2.14]
9 studies · 890 participants
Low