A reconstructive option for the recurrent pilonidal sinus

This paper presents a newly introduced technique in our practice based upon the experience published by Garrido in British Journal of Plastic Surgery in 2002 regarding the coverage of the natal cleft by a superior gluteal perforator fasciocutaneous flap. This flap was used in the coverage of the recurrent pilonidal disease. As advocated by the original authors, the technique proved to be safe, easy reproductible and provided a stable coverage. We used this flap as a first option because it fits all the requirements of the defect and even in the case of partial or total failure, the other reconstructive sources available in the gluteal region are kept intact.