Background: Pilonidal disease frequently occurs in adults
and is characterized by a significant rate of recurrence, leading
to discomfort for the affected cases.
Aim of the Work: This work aims to evaluate the results
of ellipse excision of sacrococcygeal pilonidal sinus and
reconstruction of the defect with a unilateral unequal Z-plasty
at the upper third part defect.
Patients and Methods: The study involved 50 patients who
were diagnosed with sacrococcygeal pilonidal sinus. They underwent
an ellipse excision of the sacrococcygeal pilonidal sinus,
followed by the reconstruction of the excised area using a
unilateral unequal Z-plasty at the upper third of the defect. A
follow-up period of 6 months was observed. Data on surgical
outcomes, any complications, rate of recurrence, and patient's
satisfaction levels were recorded and analyzed.
Results: The study included 50 participants, comprising
45 men and 5 women, with a median age of 23.7 years (ranging
from 18 to 37 years). Healing of the wound occurred within the
first two weeks for both primary and subsequent occurrences,
with an average healing time of 14 days (ranging from 10 to 30
days). Two patients (4%) experienced postoperative infections,
which were treated with wound dressing, appropriate antibiotics,
and extended drainage. The length of hospital stay varied
from 1 to 2 days, and the average duration before patients
could return to work was 12 days (ranging from 10 to 17 days).
After an average follow-up period of 6 months, recurrences
were observed in three cases (6%).
Conclusion: Unilateral unequal Z-plasty provides a simple
healthy and well-vascularized flap that fits and fills the defect
following pilonidal sinus excision.