AbdulWahid M. Salih *, Hawar Hasan Ali Ghalib **, Diary A. Ismael *, Mohammed I M Gubari ***, Karzan Mohammed Salih Hassan and Masrur Sleman Aziz

*    Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.

**  Surgical Unit, Shar Hospital, Sulaimani, Iraq.

*** Department of Community Health, Sulaimani Polytechnic University Kurdistan Region, Iraq.

Submitted: 13/4/2015; Accepted: 7/6/2015; Published 1/12/2015

DOI Link: https://doi.org/10.17656/jsmc.10078



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.


Rhomboid flap , Z-plasty, Pilonidal sinus.


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