Multiple Z-plasty in pilonidal sinus--a new technique under local anesthesia.

Abstract

Pilonidal sinus is a common surgical condition. Though benign, it causes a lot of distress with its associated morbidity and financial loss to the patient. Many procedures have been tried, ranging from nonsurgical to surgical methods (both conservative and radical ones). It is well known that recurrences are low when the scar is away from the midline. The author has described a new technique of multiple Z-plasty for the treatment of pilonidal sinus that has been effective in the cure of this problem. This article reports a prospective, nonrandomized noncomparative preliminary clinical study of 115 cases of pilonidal sinus operated on by the author over 14 years. The results were compared with the results of other methods mentioned in the literature. There were only two recurrences. The author proposes that multiple Z-plasty can be considered as an option in the surgical treatment of pilonidal sinus.