The seagull excision technique for pilonidal sinus disease

1

Pilonidal sinus disease affects approximately 0.7% of the population, primarily men aged 15 to 30, causing significant pain and potential complications.
2

The seagull excision technique is an advancement flap method designed to achieve tension-free, off-midline closure, reducing recurrence and complications.
3

In a study of 100 patients, the seagull technique demonstrated lower rates of surgical site infection (2%) compared to the Bascom cleft lift (p < 0.05).
4

Both the seagull excision and cleft lift techniques showed similar recurrence rates, with 4% for seagull and 6% for cleft lift, indicating comparable effectiveness.
5

Surgeons must be proficient in advancement flap procedures and natal cleft anatomy to effectively perform the seagull excision technique.

1