• AbdulWahid M. Salih Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani, Kurdistan Region, Iraq.
  • Hawar Hasan Ali Ghalib Surgical Unit, Shar Hospital, Sulaimani, Kurdistan Region, Iraq.
  • Diary A. Ismael Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani, Kurdistan Region, Iraq.
  • Mohammed I M Gubari Department of Community Health, Sulaimani Polytechnic University, Kurdistan Region, Iraq.
  • Karzan Mohammed Salih Hassan Department of Community Health, Sulaimani Polytechnic University, Kurdistan Region, Iraq.
  • Masrur Sleman Aziz Department of Community Health, Sulaimani Polytechnic University, Kurdistan Region, Iraq.




Rhomboid flap, Z-plasty, Pilonidal sinus



There are controversies about the etiology and management of pilonidal sinus. The numbers of techniques are testament in treating pilonidal sinus (PNS) and no single procedure is superior in all aspects.


The Purpose of this study was to evaluate two operative procedures regarding its complications including recurrences of the disease.


The medical records of 40 patients in whom the Rhomboid Flap and Z-Plasty techniques were applied for reconstruction after the excision were evaluated retrospectively.


The incidence rates of postoperative hematoma 1 (2.5%), wound infection 3 (7.5%), seroma 1 (2.5%), sinus formation 1 (2.5%) and neurological symptoms 17 (42.5%) activities were achieved after a mean of 21.20 days. During the average follow-up of 24 months, three patients (7.5%) developed recurrent disease.


Rhomboid flap and Z-plasty technique are flattening of the natal cleft, thus reducing local recurrence rates. Hence, we recommend use of flap technique for pilonidal sinus patients; Z-plasty is cosmetically more accepted as it has less postoperative complication.


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How to Cite

Salih A, Ghalib H, Ismael D, Gubari M, Hassan K, Aziz M. OUTCOME OF RHOMBOID FLAP AND Z-PLASTY IN PILONIDAL SINUS SURGERY. JSMC [Internet]. 2015 Dec. 1 [cited 2024 Apr. 23];5(2):139-46. Available from: https://jsmc.univsul.edu.iq/index.php/jsmc/article/view/jsmc-10078

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