title: A technical modification of video-assisted ablation for recurrent pilonidal sinus.
abstract: OBJECTIVE
  The study evaluated, in a proof of concept, the usefulness of a prosthesis (plug) in addition to video assisted ablation of pilonidal sinus (VAAPS) for treatment of recurrent pilonidal sinus.
  
  
  METHODS
  This is a case series of recurrent complex pilonidal sinus treated by VAAPS plus plug positioning.
  
  
  RESULTS
  Four patients were analysed. All were successfully treated by this new approach. No difficulties in inserting the plug were identified. Complete healing was achieved in all cases. No infection or recurrence was reported during a limited follow-up.
  
  
  CONCLUSIONS
  This new technique allows a minimally invasive scarless approach to recurrent pilonidal sinus.
authors.affiliation: Department of Advanced Biomedical Science, University of Naples 'Federico II', Naples, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Milone
authors.forename: P
authors.initials: P
authors.lastname: Bianco
authors.forename: M
authors.initials: M
authors.lastname: Musella
authors.forename: F
authors.initials: F
authors.lastname: Milone
mesh_terms: D055011:Ablation Techniques / Q000295:instrumentation / Q000379:methods*; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010864:Pilonidal Sinus / Q000601:surgery*; D011446:Prospective Studies; D012008:Recurrence; D013630:Tampons, Surgical; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000295:instrumentation / Q000379:methods*; D055815:Young Adult
keywords: Pilonidal; plug; sacrococcygeal; sinus