V-Y rotation advancement fasciocutaneous flap for excisional defects of pilonidal sinus.
BACKGROUND
Pilonidal sinus is a common disease that mostly affects young people. Despite numerous treatment modalities, the best technique has not yet been determined and there are many recurrences, causing economic losses and serious discomfort for the patients.


METHODS
The authors used V-Y rotation flaps for coverage of the defects after excision and debridement of chronic pilonidal sinuses in eight patients. The results were evaluated and compared with previously reported studies regarding the grade of disease at presentation, duration of surgery, blood loss, hospitalization period and active mobilization periods, complications, and loss of sensitivity.


RESULTS
No major complications occurred; hospitalization and immobilization periods were acceptably convenient. Recurrence was not seen, and sensitivity of the gluteal region did not diminish. The outcome was also satisfactory regarding aesthetics, and all the patients were satisfied with the result.


CONCLUSIONS
The authors believe that the V-Y rotation advancement flap is a good alternative method for the treatment of pilonidal sinus.
Sungur
Nezih
N
First Plastic and Reconstructive Surgery Department, Ankara Training and Research Hospital, Ulucanlar, Turkey.
Koçer
Ugur
U
Uysal
Afsin
A
Arslan
Cafer
C
Cöloglu
Harun
H
Ulusoy
Gürhan
G
D000328:Adult; D003646:Debridement / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D010864:Pilonidal Sinus / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*