ABSTRACT

Purpose:

Although the majority of sacrococcygeal pilonidal sinuses can be treated with simple surgical procedures, some persistent cases are encountered.

Materials and Methods:

This article describes an 18-year-old male who presented with chronic pilonidal sinus disease, which was resistant to different treatment modalities applied over the previous four years. He was treated with a superior gluteal artery pedicled perforator flap from the left hip after complete excision of all the sinuses

Results:

No complication was observed during the postoperative period. The patient was healthy and no recurrence was observed during the 12month follow-up period.

Conclusion:

The superior gluteal artery perforator flap is not the first choice for treating sacrococcygeal pilonidal sinuses; however, it provides a reliable pathophysiological solution for the surgical reconstruction of recurrent, obstinate, wide and especially long pilonidal sinus cases