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Article
June 1946

NEW AND SUCCESSFUL CLOSED OPERATIVE PROCEDURE FOR PILONIDAL SINUSGluteus Maximus Mobilization: A Sliding Muscle Graft Procedure

Arch Surg. 1946;52(6):701-712. doi:10.1001/archsurg.1946.01230050710006
Abstract

THE operation explained in this paper, a sliding gluteal muscle graft, has gradually evolved to its present completed state, commencing in 1942 to 1943 at the United States Naval Hospital, Mare Island, Calif., where I first devised and used it. Initially used as a closed procedure when the extensive involvement of tissue prevented closure by any other means, the merits of the procedure and its improvements finally permitted its use in all cases.

The purpose of this article is to describe the technical details of the operation and the surgical principles it entails. A combined method of management of pilonidal sinus and a review of ninety-two successful operations demonstrating its applicability accompany as a separate article. It is, therefore, no hurried judgment that asks for counsel, and, though improvements may yet occur, I believe that no considerable change is indicated.

Numerous articles describing various operations for pilonidal sinus group them

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