The rhomboid flap for pilonidal disease

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
P J ArumugamN D Carr

Abstract

There have been many surgical techniques described for the treatment of pilonidal sinuses. Recurrent disease causes significant morbidity particularly with time from work. To assess the rhomboid flap's role in promoting one-stage primary healing in pilonidal disease and to evaluate the morbidity and recurrence. Fifty-three patients were prospectively recruited of which 27 had previous multiple abscess formation requiring surgical drainage from their pilonidal disease, although none had acute disease at the time of surgery. By using the transposition flap, we were able to obliterate the natal cleft and therefore the rolling action of the buttocks between the cleft in these patients and thereby remove one of the factors involved in pilonidal disease. Hospital stay, healing time, wound infection, wound breakdown and recurrence were noted. There were 47 males and 6 females with a median age of 28 years (range 16-64 years). Median follow-up was 24 months (range 3-36 months). Post-operative morbidity involved superficial wound infection in 7 (13%) which settled with out-patient dressings. There were four recurrences (7%), two occurred between the flap and the anal canal, and the other two in the flap margin needing intervention. All ...Continue Reading

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Citations

Oct 14, 2009·International Journal of Colorectal Disease·Milind M RaoRobert Gilliland
Mar 1, 2011·International Journal of Surgery·A TavassoliR Nazarzadeh
Jun 5, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Jun 20, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J Quayle
May 9, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M G MuziA M Farinon
Dec 18, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A SenapatiM R Thompson
Jul 20, 2010·American Journal of Surgery·Marco Gallinella MuziAttilio Maria Farinon
Apr 28, 2009·The Journal of Surgical Research·Tahsin ColakSuha Aydin
Feb 20, 2007·ANZ Journal of Surgery·M Ezzedien RabieAbdul Aziz Al Amri
Jul 25, 2009·Journal of the European Academy of Dermatology and Venereology : JEADV·K Topgül
Aug 22, 2014·ANZ Journal of Surgery·Hayrettin DizenEvren Dilektaşlı
Jun 21, 2005·Current Surgery·W Lynn Weaver, Kibwe A T Weaver
Oct 25, 2012·International Journal of Surgery·Turgut KaracaNihal Gördesel Karaca
Dec 12, 2012·Journal of the Korean Surgical Society·Husnu AlptekınSinan Beyhan
Oct 24, 2019·Scientific Reports·Dietrich DollMarkus M Luedi
May 2, 2018·World Journal of Surgery·Enver ArpaciNilgun Markal Ertas
Jul 15, 2020·Medicina·Tenzin LamdarkMichel Adamina
Feb 27, 2017·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Mehmet MutafMustafa Nihat Koç

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