title: [Plastic reconstructive options for chronic pilonidal disease].
abstract: BACKGROUND
  Chronic pilonidal disease represents an infectious disease of the gluteal cleft that often requires surgical resection.
  
  
  OBJECTIVE
  In this article, several plastic-surgical reconstructions are presented.
  
  
  RESULTS
  Based on our experience and the current literature, different plastic surgical reconstructive methods are presented and discussed. Thorough debridement including sinus tracts and follicles represents an important step in the treatment algorithm. Subsequently, wide defects may remain that can require reconstructive surgery with local flaps. These may include a Karydakis procedure, Limberg transposition flap, V-Y advancement or rotation flap.
  
  
  CONCLUSIONS
  After thorough debridement and adherence to plastic surgical principles, sufficient reconstructions can be obtained with the presented methods.
authors: Klinik für Plastische Chirurgie & Schwerbrandverletzte, Handchirurgiezentrum, Referenzzentrum für Gliedmaßentumoren, BG Universitätsklinikum Bergmannsheil Bochum, Deutschland.
authors: B
authors: B
authors: Behr
authors: Klinik für Plastische Chirurgie & Schwerbrandverletzte, Handchirurgiezentrum, Referenzzentrum für Gliedmaßentumoren, BG Universitätsklinikum Bergmannsheil Bochum, Deutschland.
authors: A
authors: A
authors: Ring
authors: Klinik für Plastische Chirurgie & Schwerbrandverletzte, Handchirurgiezentrum, Referenzzentrum für Gliedmaßentumoren, BG Universitätsklinikum Bergmannsheil Bochum, Deutschland.
authors: J
authors: J
authors: Kolbenschlag
authors: Plastische, Ästhetische und Handchirurgie, HELIOS Bördeklinik, Oschersleben, Deutschland, vormals ²
authors: H-G
authors: HG
authors: Damert
authors: Klinik für Plastische Chirurgie & Schwerbrandverletzte, Handchirurgiezentrum, Referenzzentrum für Gliedmaßentumoren, BG Universitätsklinikum Bergmannsheil Bochum, Deutschland.
authors: M
authors: M
authors: Lehnhardt
authors: Klinik für Plastische Chirurgie & Schwerbrandverletzte, Handchirurgiezentrum, Referenzzentrum für Gliedmaßentumoren, BG Universitätsklinikum Bergmannsheil Bochum, Deutschland.
authors: A
authors: A
authors: Daigeler
mesh_terms: D003646:Debridement / Q000379:methods; D006801:Humans; D010864:Pilonidal Sinus / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000601:surgery