[Sinus pilonidalis - possibilities of surgical treatment].

INTRODUCTION: The author presents current knowledge about the therapy of pilonidal disease and compares it to his own experience with a group of patients treated for this disease in the period 20072014. MATERIAL AND METHODS: 169 patients with symptoms of pilonidal disease were treated; in 72 cases, surgery was indicated because of chronic state or recurrence of the disease. In 20072012, radical excision of sinus with primary suture of the defect was performed in 42 cases. In the period 20122014, 30 patients were operated on and the defect after excision was closed by rhomboid fasciocutaneous flap. RESULTS: When both methods of defect closure were compared, the second method showed significantly less surgical site infections, shorter time of drainage and hospitalization and overall healing. CONCLUSION: Closing the defect with rhomboid flap seems to be the optimal method for the surgical approach to pilonidal disease.