S-shaped wide excision with primary closure for extensive chronic pilonidal sinus disease

Area of Science:

• Surgical techniques
• Proctology
• Wound healing

Background:

• Complex pilonidal sinus disease (PSD) management is challenging.
• Multiple pits and bilateral extension complicate treatment.
• Flap reconstruction is increasingly used for PSD defects.

Purpose of the Study:

• To evaluate the efficacy of S-shaped wide excision with primary closure for complex chronic PSD.
• To assess the long-term outcomes of this surgical approach.

Main Methods:

• A case report detailing the application of S-shaped wide excision and primary closure.
• Surgical technique applied to a patient with complex chronic PSD.
• One-year follow-up to monitor disease recurrence and patient recovery.

Main Results:

• The patient experienced an uneventful postoperative course.
• The patient remained disease-free at the one-year follow-up.
• The technique demonstrated simplicity and effectiveness in this case.

Conclusions:

• S-shaped wide excision with primary closure is a potentially applicable technique for chronic, bilaterally extended PSD.
• The simplicity and promising results warrant further investigation.
• Larger studies are needed to confirm efficacy in diverse patient populations.