A Method for Primary Reconstruction Following Radical Excision of Sacrococcygeal Pilonidal Disease

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Abstract
A great variety of procedures have been proposed for the cure of sacrococcygeal pilonidal disease. Initial enthusiasm has usually given way to disappointment when it was realized that the treatment is painful, the hospitalization is prolonged, the aftercare is tedious or the original condition appears to have recurred. A technique is described which permits the total extirpation of cyst and sinus tracts while allowing for a tensionless wound closure by advancement of a buttock flap. Hospitalization is brief and the postoperative course is comfortable. Fifty such operations were performed since November 1968. In the 1st group of 30 patients operated between 3 and 10 yr ago, a single bonifide failure occurred. An additional 20 patients were successfully treated for an overall failure rate of 2%.