title: Surgical treatment of sacrococcygeal pilonidal sinus disease by excision and skin flaps: the Toulouse experience.
abstract: OBJECTIVE
  To compare various techniques for the treatment of pilonidal sinus.
  
  
  METHODS
  Retrospective study
  
  
  METHODS
  University Hospital of Toulouse, France.
  
  
  METHODS
  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).
  
  
  METHODS
  218 one or two stage excision and rotation skin flaps, and 28 simple incisions.
  
  
  RESULTS
  16 sinuses recurred, and no flaps necrosed.
  
  
  CONCLUSIONS
  Excision and rotation skin flaps offers an effective and elegant alternative to the more classic operations for pilonidal sinus as it causes less postoperative pain and shortens convalescence.
authors.affiliation: Plastic and Reconstructive Surgery, Department of Surgery, University Hospital of Geneva, Switzerland.
authors.forename: P D
authors.initials: PD
authors.lastname: Quinodoz
authors.forename: M
authors.initials: M
authors.lastname: Chilcott
authors.forename: J L
authors.initials: JL
authors.lastname: Grolleau
authors.forename: J P
authors.initials: JP
authors.lastname: Chavoin
authors.forename: M
authors.initials: M
authors.lastname: Costagliola
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D010864:Pilonidal Sinus / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome