Pilonidal Sinus Disease

Doll, Dietrich

doi:10.1007/15695_2017_9

Cited by 8 publications

(9 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Obviously Dr. Schein wants to ignore Favre and his study of 1.100 soldiers, who found that PSD was at the same incidence in private and officers’ ranks, although their access to hygiene was different [3]. And he likes to put aside the fact that urinary and fecal contamination is most commonly found in the very young and the very old, and this is where pilonidal incidence is lowest (as he mentions himself) [4]. Of course regular bathing (or showering) is linked to a lower pilonidal incidence [5], but why is that so?…”

mentioning

confidence: 99%

If You Detonate Dynamite, You Should Know Your Fish

Doll

2017

World j. surg.

View full text Add to dashboard Cite

mentioning

confidence: 99%

If You Detonate Dynamite, You Should Know Your Fish

Doll

2017

World j. surg.

View full text Add to dashboard Cite

“…Is evident then that one of the most relevant variables in such reports is recurrence, and as reported by Doll and Evers in their comments relating to McCallum et al ’s systematic review, recurrence is a function of time, because most analysed studies reported follow‐up periods of 1 year, in which only 23 per cent of all recurrences occurred, thus missing almost 77 per cent of all recurrences, so the majority of recurrences could not be seen. Thus, based on this, 76 and 56 per cent of our patients had exceeding 36 and 48 months’ follow up, respectively, which significantly reduced the estimation error.…”

Section: Discussionmentioning

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

View full text Add to dashboard Cite

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.

show abstract

“…Is pilonidal sinus disease (PSD) is still ''too close to the anus'' to have surgical prestige? Gupta et al [1] compared short-term outcomes of the Karydakis and ''Limberg'' flaps performed by 17 surgical residents under indirect consultant supervision [2]. As each surgical resident performed a mean of 3 flaps each, the high surgical site complication rate may reflect inadequate technique rather than a deficiency of the Karydakis flap.…”

Section: Dear Editormentioning

confidence: 99%

“…Of equal concern, the rhombic flap described by the authors is actually the Dufourmentel flap and not that described by Limberg [4]. Even though Hodges’ article was published in 1880 (not 1980 as stated), it is currently accepted PSD was first described in 1833 by Mayo (not 1847 by Anderson as stated) [1]. Antibiotic prophylaxis by Gupta et al [5] with only a second‐generation cephalosporin is inadequate given the almost ubiquitous presence of anaerobes.…”

mentioning

confidence: 99%

A Backwards Step for Pilonidal Sinus Flap Surgery?

Wysocki

2016

World j. surg.

View full text Add to dashboard Cite

Pilonidal Sinus Disease

Cited by 8 publications

References 67 publications

If You Detonate Dynamite, You Should Know Your Fish

If You Detonate Dynamite, You Should Know Your Fish

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

A Backwards Step for Pilonidal Sinus Flap Surgery?

Contact Info

Product

Resources

About