S-Shaped Wide Excision with Primary Closure for Extensive Chronic Pilonidal Sinus Disease
Figure 3
Demonstration of the patient's operation: (a) resection of the pilonidal cyst and the sinus tracts with the underlying subcutaneous tissue and fat; (b) a relaxation incision was made in the fascial layers of the wound edges, by incising the gluteus muscle fascia vertically on either side, which allowed rotation of the skin and the underlying tissue for tension-free primary closure; (c) both wound edges were approximated subcutaneously with deep interrupted sutures using 0 polyglactin; (d) a closed suction drain was inserted in the cavity.
