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Case Reports in Surgery
Volume 2014 (2014), Article ID 451869, 4 pages
Case Report

S-Shaped Wide Excision with Primary Closure for Extensive Chronic Pilonidal Sinus Disease

1Department of General Surgery, Faculty of Medicine, Sakarya University, 54055 Sakarya, Turkey
2Department of General Surgery Clinic, Tepecik Teaching and Research Hospital, Izmir, Turkey
3Department of General Surgery Clinic, Bozyaka State Hospital, Izmir, Turkey

Received 22 March 2014; Accepted 20 May 2014; Published 2 June 2014

Academic Editor: Alexander R. Novotny

Copyright © 2014 Kerem Karaman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. The management of complex pilonidal sinus disease (PSD) with multiple pits on and beside the natal cleft is variable, contentious, and problematic. Wide excision of the sinus and reconstruction of the defect using different flap techniques have become more popular in recent years. Case Report. We report a case with a complex chronic PSD to which we applied primary closure after S-shaped wide excision. The patient’s postoperative course was uneventful, and at the end of one-year followup he is now disease-free and comes for routine checkups. Conclusion. The simplicity of the technique and the promising results support the applicability of the S-shaped wide excision in chronic bilaterally extended large PSDs. Further studies entailing large patient populations are needed to reach a definite conclusion.