Adipo-fascio-cutaneous Flaps in the Treatment of Pilonidal Sinus: Experience with 50 Cases

Complete eccentric excision and partial obliteration of the natal cleft using various adipofascio-cutaneous flaps ensured reliable wound healing with fewer dressings and morbidity, shortened hospital stay and early resumption of work, good cosmesis and prevention of early and late recurrence. The lateral advancement flap is a viable option in the treatment of chronic pilonidal sinus.