Pilonidal Sinus Treated by Z‐Plasty1

McDermott, Francis T.

doi:10.1111/j.1445-2197.1967.tb06989.x

Cited by 17 publications

(8 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most of the infections and recurrences occur because of this difference in levels and because of the sutures left in these crossing areas and the deep midline gap created by all of the primary or partial closure procedures according to our observations and the literature. 7,14,17 In the invited commentary to the editor written by Bascom about the article by Akinci et al, 14 it was reported that such procedures were a major source of iatrogenic pilonidal disease.…”

Section: Discussionmentioning

confidence: 99%

Superiority of Asymmetric Modified Limberg Flap for Surgical Treatment of Pilonidal Disease

Cıhan

Uçan

Comert

et al. 2006

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Superiority of Asymmetric Modified Limberg Flap for Surgical Treatment of Pilonidal Disease

Cıhan

Uçan

Comert

et al. 2006

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

show abstract

“…The pathophysiological basis for this has been examined by McDermott [26] who found elimi nation o f negative subcutaneous pressure after Z-plasty. The recurrence rate after more extensive surgery varies from zero to 10% [21,22,25,26]. A skin flap procedure requires a long hospital stay and is not free from compli cations [21,22,25].…”

Section: Discussionmentioning

confidence: 99%

Recurrent Pilonidal Sinus: Etiology and Treatment

Søndenaa¹,

Nesvik²,

Andersen³

et al. 1995

Dig Surg

View full text Add to dashboard Cite

A clinical and histologic study of recurrent pilonidal sinus is presented. During a 5-year period 44 patients were treated for recurrent pilonidal sinus. Of these, recurrence had occurred within 1 year in 26 patients (76%). After 26 reoperations with excision and primary suture further recurrence was seen in 23% (6/26), and in 24% (6/25) after reoperations with open treatment. The histologic findings in recurrent sinuses (18 patients) were almost identical to that of primary disease. Recurrent sinuses were situated in the scar in 80% of the cases and caudal in 50% of the cases. A known wound infection had been present in 27% of the patients. Although keratin plugs were observed in 15/18 (83%) of those with a recurrence, the importance of this finding is uncertain. We conclude that recurrent pilonidal sinuses are chronic inflammatory processes usually located at the site of the surgical wound. The cause is uncertain, although there is an indication that wound infection plays a role. Keratin plugs have also been observed in scar tissue. Surgical treatment of recurrent disease has a higher recurrence rate than after that of primary disease.

show abstract

“…Oblique or asymmetric closure techniques, such as Karydakis flap 4,8 and the Bascom procedure, are based on this principle. 6,9 Similarly, full-thickness flap techniques, such as Z-plasty, Wplasty, V-Y fasciocutaneous flap, rhomboid flaps (Dufourmentel or Limberg flaps), and gluteus maximus rotational flap, are designed to flatten the natal cleft to prevent recurrences. Lower rates of pain, infection and recurrence, and more rapid wound healing after reconstruction of defects with flaps have been recently reported.…”

mentioning

confidence: 99%