The use of the triangular closure technique for defect coverage in pilonidal sinus treatment

Abstract

In patients who require a more extensive surgical excision than normal, the defined choice of local flaps may be insufficient. The purpose of this study was to present the results of defect coverage with a new closure method in the surgical treatment of pilonidal sinus. The study included patients who presented at our clinic with chronic pilonidal sinus and were treated with Mutaf Triangular Closure Procedure. In this process, the wide sacral defect that has been created is converted to a triangular shape. Two fasciocutaneous flaps are raised planned with the unequal Z-plasty principle. One of the flaps is used for the closure of the defect area and the other for the donor site. The mean age of the 71 patients included was 23.7±6.9 years and comprised 57 males (80.3%). The average diameter of the defect after excision was found to be 89 mm. The duration of hospital stay was one day and the median follow-up period was 16 months. The mean defect size was larger, and the mean work loss was longer at the recurrent group (P<0.001 and P<0.001, respectively), however, healing times were not different. No cases of flap necrosis, wound healing problems or recurrence were observed. The results of the current study have shown that the Mutaf Triangular Closure Procedure which can be easily applied and provides better aesthetic results can be successful in the treatment of pilonidal sinus with favorable results regarding time to turn to work. © 2016, E-Century Publishing Corporation. All rights reserved.