RHOMBOID FLAP FOR PILONIDAL SINUS

Volume : VII, Issue : VIII, August - 2018

Dr Mehul I Solanki, Dr Kunjkumar N Vyas

Pilonidal sinus is a chronic disease of the sacrococcygeal region. Treatment varies according to the clinical presentation of the disease. Although

many surgical methods have been suggested, an ideal method is still lacking because of high recurrence rates. Recurrent disease causes significant

morbidity, particularly missing time from work. The aim of this study was to assess the rhomboid flap‘s role in promoting primary healing in

recurrent pilonidal disease and to evaluate morbidity and recurrence.

MATERIALS AND METHOD: This prospective study included 23 patients who were treated with the use of a rhomboid flap closure for

recurrent pilonidal sinus at GMERS Hospital Sola, from June 2017 to May 2018.

RESULTS: There were 16 males and 7 females. The mean hospital stay was 8 days (range = 6–11 days).

CONCLUSIONS: Rhomboid flap for pilonidal sinus is suitable for cases where simpler operations have failed. It allows early return to full

activity, does not necessitate prolonged postoperative care, and has very low recurrence and complications rates which may outweigh the

disadvantages related to an unfavourable cosmetic appearance.