radical cure of pilonidal sinus utilising fascio cutaneous Z plasty

ABSTRACT

A new modification to the traditional Z plasty was described and applied for the treatment of pilonidal sinus after radical excision. This modification is based on the recent concept of fascio-cutaneous flaps. Twenty patients were subjected to this study with excellent results. No recurrence was encountered with follow up between 9 to 27 months. There was no case of flap tip necrosis, hematoma, abscess or pruritus and all cases healed by primary intention. The technique is simple and can be done by average general surgeons