ArticleJournal of surgical case reports2026
Keystone Design Perforator Island Flap for the treatment of recurrent pilonidal disease.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
Pilonidal disease is commonly managed with surgical excision; however, recurrence remains frequent, particularly following midline closure. Off-midline flap techniques are increasingly favoured for complex or recurrent disease, as they are associated with reduced wound healing duration and lower recurrence rates. This report describes the case of a 37-year-old obese male with chronic pilonidal disease refractory to multiple prior excisions, who underwent wide local excision and reconstruction with a Keystone Design Perforator Island Flap (KDPIF). Initial recovery was satisfactory, although apical wound dehiscence required subsequent operative washout, ultimately resulting in complete healing. KDPIF reconstruction represents a viable option for recurrent or extensive pilonidal disease and should be considered early in complex cases, with meticulous postoperative care to optimize outcomes.
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