A simple rotation flap for closure of simple and complex pilonidal sinus

Surgical treatment of pilonidal sinus disease has a significant morbidity and recurrence rate. Controversy still exists regarding the best surgical technique for the treatment of the disease. An elliptical rotation flap has been previously used for pilonidal sinus treatment with no recurrence rate.
In a two-year period, we used this technique to treat 19 patients (17 men and 2women) with chronic pilonidal sinus with a mean follow-up of 9 months. All patients were discharged on the second postoperative day. Primary healing was achieved in 18 (94.7%) of the patients in 2 weeks with no long-term recurrences. We conclude that this method, in addition to its use in primary sinuses, is particularly useful for recurrent and complex ones with extended tracts where radical excision leaves a large defect.