Bilateral gluteal advancement flap for treatment of recurrent sacrococcygeal pilonidal disease: A prospective cohort study

Elalfy, Khaled; Emile, Sameh Hany; Lotfy, Ahmed; Youssef, Mohamed A.; Elfeki, Hossam

doi:10.1016/j.ijsu.2016.03.006

Cited by 16 publications

(16 citation statements)

References 49 publications

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“…Bilateral V-Y advancement, gluteal advancement and perforator-based flaps were used for complicated SPD or SPD with recurrence before. [16,17] These procedures are far from being a simple procedure, such as a random pattern rotation flap. Random pattern rotation flaps do not require a long learning curve; it is simple as other pre-shaped rotation flaps.…”

Section: Discussionmentioning

confidence: 99%

“…The closure is limited with the skin for rotation flaps and our patients were not affected with the feeling of limitation of movement as seen on gluteal advancement flaps. [16] Specific blood supply for flaps can be considered as an advantage against flap necrosis. [17] Although the random pattern and high height ratio, there was only one patient with partial flap necrosis on the distal portion.…”

Section: Discussionmentioning

confidence: 99%

“…Rare procedures like bilateral V-Y advancement, perforator based flaps, or bilateral gluteal advancement flaps were used for the closure of large defects. [16,17] Long learning curve for experience, prolonged operation and hospitalization time are commonly encountered. Therefore, the requirement of a simple method with similar recurrence and complication rate has been occurred.…”

Section: Introductionmentioning

confidence: 99%

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Random pattern rotation flaps in the treatment of advanced sacrococcygeal pilonidal disease with damaged skin structure

Sıkar¹

2019

South Clin Ist Euras

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Objective: Various surgical techniques were used to treat advanced sacrococcygeal pilonidal disease. Long learning curve, prolonged surgery and length of hospital stay were observed in most of these methods. In this study, we aimed to present our experience with random pattern rotation flaps in the treatment of sacrococcygeal pilonidal disease with damaged skin structure. Methods: From January 2012 to January 2014, 33 patients were treated with random pattern rotation flaps. Demographic data, body mass index, volume of extracted tissue, width/height ratio of flap, operation time, wound complications and recurrences were evaluated. Results: Patients were 29 (87.8%) male and 4 (12.1%) female with a mean age of 27.8. The mean operative time was 50.1 minutes and length of hospital stay was 1.3 days. The mean width/height ratio was 0.51 and most of the patients (20/60.1%) had a width/height ratio below 0.5. The mean follow-up period was 54.1 months. Two (6.1%) patients had a recurrence and wound complications occurred in three (9.1%) patients. Most of the patients considered the operation as "good" for both health status and aesthetic satisfaction. Although most of the patients' satisfaction of health status was changed as "excellent" on follow-up after one year, there was no statistically significant difference (p=0.37). Conclusion: Random pattern rotation flap is a simple solution in the treatment of pilonidal sinus with damaged skin structure. The short learning curve, short operation time, short length of hospital stay and earlier return to work are seen as the advantages.. Further comparative studies are needed to compare health status and aesthetic outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Random pattern rotation flaps in the treatment of advanced sacrococcygeal pilonidal disease with damaged skin structure

Sıkar¹

2019

South Clin Ist Euras

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“…These techniques aim at wide excision of all the diseased tissue and closing the resultant defect with a well-vascularized and bulky alike tissue; also, they provide a tension-free suture line. On the other hand, they are more complicated techniques requiring greater surgical expertise and are related to higher rates of morbidity and wound dehiscence, and a longer time of hospitalization [35,36]. …”

Section: Discussionmentioning

confidence: 99%

A New Surgical Technique for Closure of Pilonidal Sinus Defects: Triangular Closure Technique

2017

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BackgroundWe present a clinical experience with a new local flap procedure, namely the triangular closure technique, for reconstruction of sacrococcygeal skin defects resulting from excision of the pilonidal sinus.Material/MethodsIn this technique, the defect is surgically converted to a triangle in shape. Then, the triangular defect is closed by transposition of 2 skin flaps designed in an unequal z-plasty manner. Over 6 years, this technique has been used for closure of defects of chronic pilonidal sinus disease in 27 patients (6 females, 21 males). The size of the defect ranged between 3.5 cm and 12 cm in dimension.ResultsA tension-free defect closure was obtained in all patients. All flaps except one healed with no complications. A mean follow-up of 3.62±1.77 months revealed aesthetically and functionally acceptable results with the obliteration of the natal cleft in all patients. No recurrence was observed in the follow-up period.ConclusionsThe triangular closure technique was found to be a useful technique for the treatment of pilonidal sinus with favorable results regarding the time before return to work.

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“…Recurrent sacrococcygeal pilonidal disease (sPND) is a distressing condition for both the patient and the surgeon. A myriad of surgical techniques with various outcomes have been described for treatment of sPND ranging from a minimally invasive endoscopic approach and injectable sealant to the more aggressive flap procedures such as the bilateral gluteal advancement flap . Despite this, non‐healing or recurrence remains a challenging problem.…”

mentioning

confidence: 99%

Injection of freshly collected autologous adipose tissue for treatment of a non‐healing sacrococcygeal pilonidal disease patient – a video vignette

et al. 2019

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Bilateral gluteal advancement flap for treatment of recurrent sacrococcygeal pilonidal disease: A prospective cohort study

Abstract: BGFMCF is an effective procedure for treatment of recurrent sacrococcygeal PND with low recurrence rate and acceptable morbidity.

Cited by 16 publications

References 49 publications

Random pattern rotation flaps in the treatment of advanced sacrococcygeal pilonidal disease with damaged skin structure

Random pattern rotation flaps in the treatment of advanced sacrococcygeal pilonidal disease with damaged skin structure

A New Surgical Technique for Closure of Pilonidal Sinus Defects: Triangular Closure Technique

Injection of freshly collected autologous adipose tissue for treatment of a non‐healing sacrococcygeal pilonidal disease patient – a video vignette

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