Surgical treatment of complicated pilonidal sinus with a fasciocutaneous V-Y advancement flap

Diseases of the Colon and Rectum
Ramazan EryilmazMustafa Sahin

Abstract

In this study, we investigated the value of fasciocutaneous V-Y advancement flap reconstruction in the treatment of complicated or recurrent sacrococcygeal pilonidal sinus. Patients with complicated pilonidal sinus treated with a V-Y advancement flap from July 2002 through December 2005 were studied. The duration of inpatient stay, early wound complications, time of return to active work, recurrence, and patient satisfaction with the operation were recorded. Forty-three patients were treated for recurrent or complicated sacrococcygeal pilonidal disease. All flaps remained viable without necrosis. However, 4 patients (9.3%) had wound infections, and 3 patients (7%) had hematoma. The mean hospital stay was 3 (range, 2-5) days, and time to return to active life was 17 (range, 13-25) days. The mean duration of follow-up was 48 (range, 27 to 69) months. Recurrence was detected in only one patient in the early period. Seven patients (16.3%), including 4 bilateral repairs, had numbness over the operative site. Thirty-nine patients (90.7%) were not satisfied with scars; 4 reported that the scar was not important. In selected patients, V-Y advancement flaps provide tension-free repair with minimal recurrence rates and reliable skin cove...Continue Reading

References

May 1, 1992·The Australian and New Zealand Journal of Surgery·G E Karydakis
Aug 1, 1991·Diseases of the Colon and Rectum·C ManterolaL Fonseca
Feb 1, 1990·The British Journal of Surgery·T G Allen-Mersh
Dec 22, 1973·Lancet·G E Karydakis
Dec 1, 1994·Diseases of the Colon and Rectum·V P KhatriA K Amin
Sep 1, 1996·Annals of Plastic Surgery·W Rosen, J S Davidson
Feb 24, 1999·The European Journal of Surgery = Acta Chirurgica·O N Dýlek, M Bekereciodlu
Jun 1, 2002·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Aydin SarayOzgur Turkmenoglu
Jan 9, 2003·The Surgical Clinics of North America·Tracy L Hull, James Wu
May 17, 2003·Techniques in Coloproctology·S ChintapatlaN Haboubi
Jun 19, 2004·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Gökhan TunçbilekEmin Mavili
Mar 5, 2005·International Journal of Colorectal Disease·Huseyin BerkemNusret Akyurek
Jun 15, 2006·Plastic and Reconstructive Surgery·Nezih SungurGürhan Ulusoy
Jul 31, 2007·Diseases of the Colon and Rectum·Haluk R UnalpMehmet Ali Onal

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Citations

May 21, 2010·Diseases of the Colon and Rectum·Erhan AygenCemalettin Camci
Aug 10, 2013·Diseases of the Colon and Rectum·Scott R SteeleUNKNOWN Standards Practice Task Force of the American Society of Colon and Rectal Surgeons
Apr 20, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·J PauchotE Jacquet
Sep 18, 2015·Techniques in Coloproctology·D SegreUNKNOWN Italian Society of Colorectal Surgery
Jun 18, 2016·Langenbeck's Archives of Surgery·I IesalnieksA Herold
May 2, 2018·World Journal of Surgery·Enver ArpaciNilgun Markal Ertas
Oct 24, 2019·Scientific Reports·Dietrich DollMarkus M Luedi
May 6, 2021·Langenbeck's Archives of Surgery·I IesalnieksD Doll

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