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Pilonidal disease is a benign and often chronic condition of the skin/soft tissue in the sacrococcygeal region. For failed response to nonoperative management, there is currently no consensus among a variety of different operative techniques.1,2 Currently, wide local excision (WLE) with or without closure is advocated by many.3,4 This technique is characterized by wide excision of all involved tissue. This is followed by operative closure or is allowed to heal by secondary intention. These therapies can result in significant morbidity, long healing times, and high risk for recurrence. Flap techniques are durable but difficult to learn and require drains and/or prolonged immobilization.5
Rouch JD, Keeley JA, Scott A, Sydorak R, DeUgarte D, Lee SL. Short- and Long-term Results of Unroofing and Marsupialization for Adolescent Pilonidal Disease. JAMA Surg. 2016;151(9):877-879. doi:10.1001/jamasurg.2016.0850