The seagull excision technique for pilonidal sinus disease

Pilonidal sinus disease is a common condition affecting the skin and subcutaneous tissue in the upper natal cleft. Bascom's cleft lift procedure, an established surgical technique, treats the disease by excising the sinus tract, flattening the gluteal cleft, and displacing the incision off the midline (Immerman in Cureus, 2021. 10.7759/cureus.13053; Leventoglu et al. in Colorectal Dis 25:1938-1939, 2023. 10.1111/codi.16701). The seagull excision technique, developed as an alternative to the proven cleft lift procedure, aims to achieve similar surgical goals while offering a different flap design and closure strategy. This video demonstrates the application of the seagull excision technique in a 37-year-old male patient with pilonidal sinus disease.