A Comparative Study between Excision and Reconstruction Using Superior Gluteal Artery Perforator Flap and Lay Open in Cases of Recurrent Pilonidal Sinuses

Abstract

ilonidal sinus (PS) remains a problem for the surgeon and nuisance to the patients. Pilonidal sinus disease is a small hole or tunnel in the skin at the top of the buttocks, where they divide (the natal cleft) usually seen in Young adults and carries high post-operative morbidity and patient discomfort. Complicated pilonidal surgical wounds are associated with considerable morbidity, including chronic sacral wound, loss of work time, and lifestyle limitation. The most important predisposing factors for the development of PS are the existence of a deep natal cleft and the presence of hair within the cleft. A deep natal cleft is a favorable environment for sweating, maceration, bacterial contamination and penetration of hair. Thus, for treatment and prevention, these causative factors must be eliminated. Pilonidal disease presents many therapeutic challenges to surgeons throughout the world. Its varied clinical presentations necessitate a wide range of treatments. Principles of management need eradication of the sinus tracts complete healing of the overlying skin and prevention of recurrence. The best treatment would be a rapid one that permits patients to resume early their normal daily life activity, with least morbidity and a low risk of complications.