A useful alternative surgical technique to reconstructing large defects following excision of recurrent pilonidal sinus disease in the intergluteal region: An operative approach for the transverse lumbar artery perforator flap

Abstract

The reconstruction of defects in the intergluteal region following pilonidal sinus excision is challenging due to its anatomical location, close proximity to the anus, and being a high-tension area prone to wound-healing problems. Excision and primary closure is known to carry a higher risk of recurrence and subsequent complications compared with using nearby local healthy tissue, such as a flap, to reconstruct defect. Extra due diligence should be given to patient selection and flap choice when deciding the reconstruction of a defect. The senior author, who has briefly reviewed complication rates in previous published literature, prefers the transverse lumbar artery perforator (TLAP) flap for reconstruction following pilonidal sinus excision in the intergluteal region. This paper illustrates the operative approach used by the senior author when raising a TLAP flap.

Out of the midline—cleft lift, advancement and rotation procedures

“…The House flap [53] has recently been described for what appears to be simple disease. Z-plasty [54][55][56][57], V-Y flaps [58][59][60], rhomboid flaps [61,62] and complex plastic surgical techniques such as transverse lumbar artery perforator flap [63] are other techniques that have been used. They have also been compared with each other and with other techniques [47,[55][56][57].…”