title: S-shaped wide excision with primary closure for extensive chronic pilonidal sinus disease.
abstract: Background. The management of complex pilonidal sinus disease (PSD) with multiple pits on and beside the natal cleft is variable, contentious, and problematic. Wide excision of the sinus and reconstruction of the defect using different flap techniques have become more popular in recent years. Case Report. We report a case with a complex chronic PSD to which we applied primary closure after S-shaped wide excision. The patient's postoperative course was uneventful, and at the end of one-year followup he is now disease-free and comes for routine checkups. Conclusion. The simplicity of the technique and the promising results support the applicability of the S-shaped wide excision in chronic bilaterally extended large PSDs. Further studies entailing large patient populations are needed to reach a definite conclusion.
authors.affiliation: Department of General Surgery, Faculty of Medicine, Sakarya University, 54055 Sakarya, Turkey.
authors.forename: Kerem
authors.initials: K
authors.lastname: Karaman
authors.affiliation: Department of General Surgery Clinic, Tepecik Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Safak
authors.initials: S
authors.lastname: Ozturk
authors.affiliation: Department of General Surgery Clinic, Tepecik Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Cem
authors.identifier: 0000-0002-2668-5197
authors.initials: C
authors.lastname: Tugmen
authors.affiliation: Department of General Surgery Clinic, Tepecik Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Eyup
authors.initials: E
authors.lastname: Kebapcı
authors.affiliation: Department of General Surgery Clinic, Bozyaka State Hospital, Izmir, Turkey.
authors.forename: Sait Murat
authors.initials: SM
authors.lastname: Dogan
authors.affiliation: Department of General Surgery Clinic, Tepecik Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Mutlu
authors.initials: M
authors.lastname: Unver
authors.affiliation: Department of General Surgery Clinic, Tepecik Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Olmez
authors.affiliation: Department of General Surgery Clinic, Tepecik Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Aydin