Innovative Flap Technique Excels in Three-Dimensional Sacrococcygeal Defect Reconstruction

Researchers introduced a novel approach using rotational V-Y fasciocutaneous advancement island flaps to address deep sacrococcygeal defects caused by conditions like pilonidal disease and pressure ulcers. By considering the three-dimensional nature of the defects, the technique provides robust reconstruction, preventing dead space and wound disruption. In a study of 12 patients from March 2016 to July 2022, successful surgeries resulted in no observed complications or recurrences. Notably, patients exhibited a smaller intercoccygeal angle, emphasizing the method’s significance in addressing sacrococcygeal pathology.