Multiple Z-plasty in pilonidal sinus--a new technique under local anesthesia.

Area of Science:

• Surgical Innovation
• Clinical Outcomes
• Pilonidal Sinus Treatment

Background:

• Pilonidal sinus is a prevalent surgical ailment causing significant patient distress, morbidity, and financial burden.
• Various treatment modalities, from conservative to radical surgical approaches, have been explored for pilonidal sinus.
• Midline scar avoidance is recognized as a factor in reducing pilonidal sinus recurrence rates.

Purpose of the Study:

• To evaluate the efficacy of a novel multiple Z-plasty technique for pilonidal sinus treatment.
• To present preliminary clinical data on a new surgical approach for pilonidal sinus.

Main Methods:

• A prospective, nonrandomized, noncomparative clinical study was conducted.
• The study involved 115 patients with pilonidal sinus treated with the author's multiple Z-plasty technique.
• Data were collected over a 14-year period.

Main Results:

• The multiple Z-plasty technique demonstrated a low recurrence rate.
• Only two recurrences were observed in the study cohort.
• Results were benchmarked against existing literature on pilonidal sinus treatments.

Conclusions:

• Multiple Z-plasty is proposed as a viable surgical option for pilonidal sinus.
• The technique shows potential for effective pilonidal sinus management.
• Further consideration of multiple Z-plasty in surgical treatment algorithms is warranted.