Fasciocutaneous Elliptical Rotation Flap for Pilonidal Sinus Disease and Its Outcomes

Area of Science:

• Surgical techniques
• Proctology
• Wound healing

Background:

• Sacrococcygeal pilonidal sinus is a common acquired condition with no consensus on optimal treatment.
• Previous surgical methods like the elliptical rotation flap have shown success but possess limitations.

Purpose of the Study:

• To retrospectively evaluate the efficacy and safety of the fasciocutaneous elliptic rotation flap for treating pilonidal sinus disease.

Main Methods:

• A retrospective analysis of 186 patients (149 males, 37 females) who underwent surgery for pilonidal disease using the fasciocutaneous elliptic rotation flap between 2013 and 2018.
• Data collected included operative time, wound complications (infection, seroma, dehiscence), return to daily activities, healing time, and recurrence rates.

Main Results:

• Complete healing occurred in 13 ± 3 days with a mean follow-up of 19 months.
• Low complication rates: 1% infection, 3.8% seroma, 3.2% partial wound dehiscence. No flap necrosis, ischemia, hematoma, or complete dehiscence.
• No recurrence was observed during postoperative follow-ups. Mean operative time was 43 ± 13 minutes.

Conclusions:

• The fasciocutaneous elliptic rotation flap is a safe and effective surgical option for pilonidal sinus treatment.
• This technique demonstrates comparable outcomes to existing methods with added advantages.
• It can be safely recommended for pilonidal sinus management.