Recurrent pilonidal sinus problem and a solution

ABSTRACT

Recurrent pilonidal sinus is actually a real problem for the surgeon as well as for the patient. The principle defect in the pathogenesis of pilonidal sinus is the deep natal cleft with its sequelae. So, unless the natal cleft is obliterated, the sinus is more likely to recur, and an operation which eliminates the natal cleft should be the most successful surgical method. Z-plasty technique was utilized to obliterate the natal cleft in twenty five patients with recurrent pilonidal sinus. Postoperative period was smooth, and hospital stay and time off work were short. For 2-3 years follow-up, any recurrence was not encountered. Z-plasty technique is recommended in the management of recurrent pilonidal sinus, as it deals with the underlying basic defect responsible for the recurrence