Bilateral Gluteal Fascio-myo-cutaneous Advancement Flap is a modified technique used in Treatment of Recurrent Sacrococcygeal Pilonidal sinus

Patients with recurrent pilonidal sinus disease are recruited to undergo Bilateral Gluteal Fascio-myo-cutaneous Advancement Flap technique under spinal anesthesia in order to prevent recurrence.

Inclusion Criteria:

• Patients with recurrent sacrococcygeal pilonidal disease aging more than 16 years with single or multiple pits were included in the study.
• Patients included presented with recurrence of pilonidal disease at least six months after the first operation.

Exclusion Criteria:

• Patients aging less than 16 years.
• Patients unfit for anesthesia.
• Patients with primary pilonidal disease.
• Patients with acute pilonidal abscess or active infection.