I was a 25-year-old trainee at the Department of Surgery of the Catholic University in Rome when I operated on my first patient with sacrococcygeal pilonidal sinus. The only such procedure I had seen until then had been carried out at our institution, i.e., excision of the infected sinus, leaving the wound open after suturing of the gluteal to the presacral fascia. This is the procedure I performed, packing the wound with a wad of gauze anchored with several plasters to the iliac crest. The patient was then returned to his room, where he remained, immobile in bed in a prone position with a heavy bag of sand compressing the surgical wound.


Pilonidal Sinus Pilonidal Disease Pilonidal Sinus Disease Limberg Flap Suture Dehiscence 
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Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Mario Pescatori
    • 1
  1. 1.Coloproctology UnitArs Medica Hospital and La Sapienza UniversityRomeItaly

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