Z-plasty closure for excision of pilonidal disease
Z-plasty closure for excision of pilonidal disease
(A) depicts an elliptical excision of the pilonidal sinuses and tracts down to the level of the sacrococcygeal fascia. Extensions from the superior and inferior angles are made at a 30 degree lateral angle. (B) depicts the rotation of the full-thickness flap to cover the defect. (C) depicts the final closed incision.