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Case Reports in Surgery
Volume 2015, Article ID 759316, 3 pages
http://dx.doi.org/10.1155/2015/759316
Case Report

Minimally Invasive Surgical Approach to Complicated Recurrent Pilonidal Sinus

1General Surgery Department, Edremit Military Hospital, Edremit, 10300 Balıkesir, Turkey
2General Surgery Department, Tuzla Hospital, Tuzla, 34944 İstanbul, Turkey
3General Surgery Department, Konya Military Hospital, 42040 Konya, Turkey
4General Surgery Department, Gulhane Military Medical Faculty, 06180 Ankara, Turkey
5General Surgery Department, Istanbul University Medical Faculty, Capa, 34093 Istanbul, Turkey

Received 3 June 2015; Revised 10 October 2015; Accepted 11 October 2015

Academic Editor: Gabriel Sandblom

Copyright © 2015 Vahit Onur Gul 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.

Abstract

Pilonidal sinus is considered as a simple and frequently occurring disease localized at the sacrococcygeal area. However, at the intergluteal region, it can often turn into a chronic and complicated disease. In some cases, it can fistulize up to the gluteal region and appear at the secondary orifices. Minimally invasive surgical techniques are becoming widespread in recent years due to the increased experience and development of new instruments. Limited excision of the pilonidal sinus tract can be a better treatment option compared with large excisions in terms of recovery time and patient’s comfort. This case study reports the single-phase surgical treatment of complicated and recurrent pilonidal sinus localized at the gluteal area, with minimal tissue loss and inflammation.