Surgical treatment of sacrococcygeal pilonidal sinus disease by excision and skin flaps: the Toulouse experience

Objective: To compare various techniques for the treatment of pilonidal sin us. Design: Retrospective study Setting: University Hospital of Toulouse, France. Subjects: 246 consecutive patients who presented between 1979 and 1996. The male:female ratio was 2:1, and the mean age 26 years (range 18-69). Interventions: 218 one or two stage excision and rotation skin Baps, and 28 simple incisions. Results: 16 sinuses recurred, and no flaps necrosed. Conclusion: Excision and rotation skin flaps offers an effective and elegan t alternative to the more classic operations for pilonidal sinus as it caus es less postoperative pain and shortens convalescence.