disease. The exact etiology of the disease is still unknown
but the most accepted theory is an acquired condition characterized
by infected sinus in the natal cleft area contains lifeless
hair tuft. Multiple techniques were prescribed for its treatment
however the ideal method still not yet defined.
Patients and Methods: Fifty eight male patients who
underwent excision of their recurrent pilonidal sinus disease
and the resulting defects were reconstructed using combined
horizontal split gluteus maximus flaps and rhomboid flaps.
Outcomes were revised from patient's files case and followed
up in outpatient clinic and via questionnaires.
Results: The mean hospital stay was three days. The mean
time to return to work was 16 days. Partial wound dehiscence's
occurred in two patients. Distal end flap necrosis occurred in
one patient. There were no flap losses, no recurrences, no
infections, no loss of function and no seromas during a mean
follow-up period of 24 months. All patients were satisfied
with the results.
Conclusion: In comparison with other techniques, it has
a comparable operative time and hospital stays. It has minimal
and acceptable complication rates and no recurrences. We can
conclude that this procedure of combined split gluteus maximus
muscle flap and rhomboid flap provides an excellent, effective,
easy and feasible method of choice for reconstructing defects
of recurrent pilonidal sinus disease.