MANAGEMENT OF RECURRENT PILONIDAL-SINUS BY SIMPLE V-Y FASCIOCUTANEOUSFLAP

PURPOSE: Several methods of managing the sacrococcygeal pilonidal sinu s have been described, and fervent arguments for each form of therapy can be found in the literature. Recurrence unfortunately plagues all f orms of therapy, though it is evident that the lowest rates have been reported for procedures involving local flap reconstruction. We conduc ted this case review to evaluate the validity of a simple reconstructi ve procedure for recurrent pilonidal disease. METHODS: We describe the application of the V-Y fasciocutaneous advancement flap to reconstruc t the defect following radical excision of recurrent pilonidal sinus i n five consecutive patients. RESULTS: Tension-free closure offers the benefits of a reduction in postoperative pain, less restriction in act ivity, and a shorter hospital stay. CONCLUSIONS: Preliminary results o ffer evidence of the efficacy of the simple reconstructive procedure i n the management of difficult cases.