Pilonidal sinus treatment: A new simplified technique; filling natal cleft with fasciofatty flap
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Background: Katydakis and Bascom designed new lines of surgical treatment of pilonidal sinus. Both of them share the principles of off-mid//tie scar and cleft lift The objective of this randomized clinical trial as to evaluate prospectively the outcome of adding few modifications to both techniques qfKarydctkis and Bascom. Method: Sixty eight patientswithpilonidal sinus were included in this study After eradication of pathological tissues; the skin flap was created, a fasciofaity flap was everted tofill the natal cleft. On table removal of drain was done after sittureless collapse of wound cavity. Results: The depth of the natal cleft showed a clear reduction. Four cases (5.9%) developed seroma which required simple needle aspiration. All patients attended the follow up period with no recurrences. Conclusion: This technique carries the simplicity with promising results. It helps in pathology eradication and reduction of natal cleft depth through a reliable filling with fasciofatty flap. Key words: Pilonidal sinus, Katydakis-modification, Bascom modification, fascio-fatty flap, cleft lift, sutureless collapse of wound cavity.