A new flap technique to treat pilonidal sinus.

Area of Science:

• Surgical techniques
• Wound healing
• Pilonidal sinus disease treatment

Background:

• Pilonidal cyst surgery often faces complications like flap necrosis, delayed healing, and recurrence.
• Existing closure techniques present challenges including ischemia-related issues at flap corners.
• A need exists for improved, protective repair methods for pilonidal cyst excision.

Purpose of the Study:

• To introduce and evaluate a simple, effective, and incision-protective repair method for pilonidal cyst excision.
• To assess the efficacy of a new adipo-fascio-cutaneous flap technique in treating chronic pilonidal sinus disease.
• To minimize surgical complications associated with pilonidal cyst closure.

Main Methods:

• Retrospective analysis of 17 patients (12 males, 5 females) undergoing elective surgery for chronic pilonidal sinus disease.
• Application of a novel flap technique involving adipo-fascio-cutaneous flaps for wound closure after wide sinus excision.
• Evaluation of outcomes based on flap rotation, necrosis, recurrence, maceration, and healing.

Main Results:

• The described flap rotation technique yielded satisfactory results in all 17 patients.
• No instances of flap rotation failure, flap necrosis, or disease recurrence were observed.
• Complete avoidance of incisional line maceration and delayed wound healing was achieved.

Conclusions:

• The presented flap technique effectively prevents flap necrosis and maceration at the incision site.
• This method ensures sufficient and timely healing of the flap, minimizing complications.
• The technique results in minimal scarring and reduced risk of margin necrosis due to fewer flap corners.