This edited video shows the author's approach to the care of a patient with a very extensive pilonidal sinus extending to perianal region by means of excision with gluteal muscle reconstruction. This video is associated with a text under submission for publication in the journal Colorectal Disease. Authors: Tsarkov P.V., Tulina I.A., Markaryan D.R., Kitsenko Y.E., Shlyk D.D. I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia Video associated with Colorectal Disease Journal (published by Wiley and associated with the Association of Coloproctology Great Britain and Ireland (ACPGBI), European Society of Coloproctology (ESCP) and Spanish Society of Coloproctology (SSC). The videos on this channel are there for illustrative purposes only and the ideas, approaches and procedures shown in them are in no way recommended or endorsed by Colorectal Disease, its owner, editors or publisher.
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