[Plastic reconstructive options for chronic pilonidal disease]

Chronic pilonidal disease represents an infectious disease of the gluteal cleft that often requires surgical resection.

In this article, several plastic-surgical reconstructions are presented.

Based on our experience and the current literature, different plastic surgical reconstructive methods are presented and discussed. Thorough debridement including sinus tracts and follicles represents an important step in the treatment algorithm. Subsequently, wide defects may remain that can require reconstructive surgery with local flaps. These may include a Karydakis procedure, Limberg transposition flap, V-Y advancement or rotation flap.

After thorough debridement and adherence to plastic surgical principles, sufficient reconstructions can be obtained with the presented methods.