Outcomes of the house advancement flap for pilonidal sinus

ANZ Journal of Surgery
Alicia Mackowski, Michael Levitt

Abstract

Many surgical techniques have been described for the treatment of pilonidal sinus, yet rates of recurrence and prolonged wound healing remain high and consensus on the optimal technique is lacking. This retrospective study evaluates outcomes of the use of the house advancement flap in the treatment of pilonidal sinus including time to wound healing, sinus recurrence, wound infection and flap necrosis. Thirty-three consecutive patients who underwent excision and house advancement flap for pilonidal sinus, of whom seven patients (21%) had recurrent pilonidal sinus disease following previous surgical intervention, were reviewed retrospectively. Follow-up ranged from 4 to 59 months (mean 28 months). All 33 patients completed a follow-up survey. Age at time of operation ranged from 14 to 44 years with a mean of 25 years. No patients developed wound infection or flap necrosis. Four patients (12%) failed to achieve primary wound healing; mean time to wound healing for the remaining 29 patients was 62 days. Recurrence of pilonidal sinus occurred in eight patients (24%), at a mean time of 22 months post-operatively. The house advancement flap achieves primary wound closure in almost 90% of cases with few acute post-operative complicatio...Continue Reading

References

May 1, 1992·The Australian and New Zealand Journal of Surgery·G E Karydakis
Feb 11, 1992·Diseases of the Colon and Rectum·M A ChristensenA G Thorson
Mar 5, 2005·International Journal of Colorectal Disease·Huseyin BerkemNusret Akyurek
Aug 18, 2005·American Journal of Surgery·Tamer ErtanMehmet Kilic
Aug 6, 2008·World Journal of Surgery·Olcay AlverMetin Ertem
Jan 1, 1999·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland· Tekin

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