Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
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Pilonidal sinus disease (PSD) is defined as a cyst of sacrococcygeal hair follicle. Complete excision of lesion and skin reconstruction is still the only definitive treatment. Opinions on form and size of excision and type of skin reconstruction and flap are ambiguous. ⋯ Using of primary closure without flap carries just little benefit in shorter surgery time. Suture outside of midline minimize risk of early postsurgical complication and decrease risk of disease recurrence. Published literature in correlation with our results show that modified Limberg flap may be useful standard in PSD treatment.