Dufourmentel Rhomboid Flap for Sacrococcygeal Pilonidal Sinus: Technical Details

Manterola, Carlos; Otzen, Támara

doi:10.4067/s0717-95022016000400005

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…The Limberg Rhomboid flap has been used successfully in repairing the cutaneous defects due to malignancy, bed sores, pilonidal sinus and traumatic ulcers as evidenced by past studies. [4][5][6][7][8] In our study as well we have used rhomboid flap for similar cases. We have used rhomboid flap to cover the cutaneous defect by creating a similar shaped flap of equal size by mobilizing the lax skin of same texture and skin color.…”

Section: Discussionmentioning

confidence: 99%

“…In our study the complications were present in 8 (15.7%) cases which is higher than the study done by Alvarez et al where they had only 8% complication rate. 5 It can be explained on the basis of the patient selection, as 84% of the cases in their study were due to malignancy i.e. less numbers of bedsores and infected cases like pilonidal sinus.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Complications after Limberg Rhomboid Flap in Patients with Cutaneous Defects at A Tertiary Care Hospital

et al. 2019

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Introduction: Limberg rhomboid flap is an extremely useful and versatile technique to cover thecutaneous defects in various anatomical locations of different etiology and varied sizes. The mainaim of the study is to find the prevalence of complications after limberg rhomboid flap in patientswith cutaneous defects at a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted at a tertiary care hospital fromOctober 2015 to November 2018 after obtaining approval from the institutional review committee.Study population is patient admitted to ward and outpatient department of surgery. Conveniencesampling was done. Data was entered and analyzed in statistical package for social sciences andpoint estimate at 95% confidence interval was calculated along with frequency and proportion forbinary data. Results: Out of total patients, the complications were seen in total 8 (15.7%) patients. Prevalenceof complications is 8 (15.7%) at 95% confidence interval (7.85-23.56). Among which, complicationswere seen in 5 (9.8%) bed sore, 2 (3.92%) in pilonidal sinus, 1 (1.96%) in traumatic ulcer and none inneoplastic lesion and types of complications seen were wound gaping in 3 (5.88%) cases, surgical siteinfection in 2 (3.92%) cases, recurrent pilonidal sinus in 1 (1.96%) case, flap necrosis in 1 (1.96%) caseand epidermolysis in 1 (1.96%) case. Conclusions: The Limberg rhomboid flap can be used safely in patients with cutaneous defectwith minimal complications and good surgical outcome however prevalence of complications afterlimberg rhomboid flap in patients with cutaneous defects at tertiary care center is high compared tothe previous studies done.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence of Complications after Limberg Rhomboid Flap in Patients with Cutaneous Defects at A Tertiary Care Hospital

et al. 2019

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“…Subcutaneous cellular tissue was sutured with polyglactin‐00, and the skin was closed with staples (Fig. a–c) . Finally, extirpated specimens were sent to the pathology department.…”

Section: Methodsmentioning

confidence: 99%

Dufourmentel rhomboid flap in the radical treatment of extensive, complex or recurrent sacrococcygeal pilonidal disease: Case series with follow up

Manterola

Otzen

2018

Surgical Practice

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Aim: Sacrococcygeal pilonidal disease (SPD) is a chronic and uncommon entity. Extensive, complex and recurrent SPD is less frequent, and diverse treatment alternatives have been described. One of these is excision, followed by reconstruction with the rhomboid flap, as described by Dufourmentel. The aim of the present study was to report the results of a series of patients with extensive, complex or recurrent SPD operated on using Dufourmentel's technique, in terms of postoperative morbidity (POM) and recurrence. Patients and Methods: The present study was a case series of patients with extensive, complex or recurrent SPD, operated on at the Clínica Mayor and Regional Hospital in Temuco, Chile, between 2000 and 2015, using excision, followed by a reconstruction with the Dufourmentel's rhomboid flap. The outcome variable was POM measured at 30 days' postoperatively using the Clavien-Dindo classification. Other variables of interest were surgical time, hospital stay, mortality and recurrence. The minimum follow-up time was 18 months. Descriptive statistics were used. Results: Ninety-five patients with extensive, complex or recurrent SPD were operated on in the study period. The median age was 21 years, and 56.8 per cent were female. The median surgical time was 60 min (45-90 min). POM was 13.7 per cent, seroma was 5.3 per cent, wound infection was 2.1 per cent and partial surgical wound dehiscence was 6.3 per cent. Mortality of the series was nil. Median hospital stay, follow up and recurrence were 4 days (3-5), 48 months (18-90 months) and 3.2 per cent, respectively. Conclusion: Dufourmentel's technique applied to patients with extensive, complex or recurrent SPD was associated with adequate postoperative evolution in terms of POM and recurrence.

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“…1,2 It is a common anorectal problem most often arising in the hair follicles within the natal cleft of the sacrococcygeal region. [3][4][5] Patients may present with symptoms of acute disease (pain in the sacrococcygeal region due to abscess formation) or may suffer from the chronic form of the disease with purulent discharge from one or multiple sinus tracts. 6 The treatment of pilonidal sinus disease remains controversial.…”

Section: Introductionmentioning

confidence: 99%

“…Pilonidal sinus is a common problem in young people, affecting most commonly men in the second and fourth decades of life 1,2 . It is a common anorectal problem most often arising in the hair follicles within the natal cleft of the sacrococcygeal region 3‐5 . Patients may present with symptoms of acute disease (pain in the sacrococcygeal region due to abscess formation) or may suffer from the chronic form of the disease with purulent discharge from one or multiple sinus tracts 6 …”

Section: Introductionmentioning

confidence: 99%

Comparison of three different surgical treatment methods, semi‐open closure, primary repair, and rotational flap for pilonidal sinus

et al. 2020

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Background: Pilonidal sinus disease is a common infectious process that occurs on the natal cleft and sacrococcygeal part. The treatment of pilonidal sinus disease remains challenging and despite the existence of many non-surgical and surgical methods, there is no consensus for the best treatment for this disease. Objective: The goal of this study is to investigate the outcomes of pilonidal sinus surgery by three methods of semi-open, primary repair, and elliptical rotational flap. Methodology This prospective randomized study was conducted on patients suffering from primary pilonidal sinus. The patients were randomly assigned to one of the three groups based on surgical technique, were followed according to a checklist within the first, second and fourth weeks, as well as third and sixth months after surgery. Follow up was done in terms of recurrence, surgical complications, post-operative pain, and duration of hospitalization. Results: One hundred forty-six patients completed the study, including 21 women and 125 men. The mean age of patients was 26.56 ± 5 years. There was only one case of recurrence and the rate of post-operative haematoma and infection were not significant between groups, while the rate of itching problem was significantly different (P-value = .001). The highest degree of itching, haematoma and infection were in the semi-open, rotational flap and primary repair group, respectively. The mean duration of pain relief and time of hospitalization were 25.73 ± 11.36 hours and 4.41 ± 1.56 days, respectively, which were significantly different between groups. The longest mean duration of pain relief and hospitalization were in primary repair and semi-open group, respectively. Conclusions: Elliptical rotational flap is preferred to the other two methods due to less pain, lower recurrence rate after surgery and early return of patients to the economic cycle.

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Dufourmentel Rhomboid Flap for Sacrococcygeal Pilonidal Sinus: Technical Details

Cited by 6 publications

References 13 publications

Prevalence of Complications after Limberg Rhomboid Flap in Patients with Cutaneous Defects at A Tertiary Care Hospital

Prevalence of Complications after Limberg Rhomboid Flap in Patients with Cutaneous Defects at A Tertiary Care Hospital

Dufourmentel rhomboid flap in the radical treatment of extensive, complex or recurrent sacrococcygeal pilonidal disease: Case series with follow up

Comparison of three different surgical treatment methods, semi‐open closure, primary repair, and rotational flap for pilonidal sinus

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