title: [Morbidity of Z-plasty in the treatment of pilonidal sinus].
abstract: 21 patients were followed up on an average of 28 months following excision of pilonidal sinus and Z-plasty. There were 2 recurrences (10%), 3 hypertrophic scars (14%) and hypaesthesia of the skin flaps in almost every patient. 2 out of 3 patients (67%) were satisfied with the results. 5 suffer from the cosmetic appearance, 5 from pruritus, 3 (14%) have problems with clothing. About 1/3 experience discomfort when sitting and sporting. This morbidity causes us to recommend Z-plasty only in cases of a recurrence with strong discomfort or frequent recurrences.
authors.affiliation: Chirurgische Abteilung, Regionalspitals Burgdorf.
authors.forename: J
authors.initials: J
authors.lastname: Tschudi
authors.forename: H B
authors.initials: HB
authors.lastname: Ris
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010864:Pilonidal Sinus / Q000601:surgery*; D011183:Postoperative Complications / Q000473:pathology*; D012867:Skin / Q000473:pathology; D013536:Suture Techniques; D014945:Wound Healing
vernacular_title: Die Morbidität der Z-Plastik in der Behandlung des Pilonidalsinus.