Prospective randomized controlled trial comparing V–Y advancement flap with primary suture methods in pilonidal disease

Nursal, Tarık Zafer; Ezer, Ali; Çalışkan, Kenan; Törer, Nurkan; Bellı, Sedat; Moray, Gökhan

doi:10.1016/j.amjsurg.2008.12.030

Cited by 62 publications

(42 citation statements)

References 16 publications

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“…If excision surgery is required, controversies exist about of the optimal reconstruction method. Many prospective randomised trials have been performed with conflicting results [8][9][10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Therapeutic approaches to patients with pilonidal sinus based on specific clinical characteristics

et al. 2012

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Controversies exist about the optimal treatment for patients with pilonidal disease. Our therapeutic approach to patients with this condition has been conservative treatment. Surgery was performed only after failure of conservative treatment. Surgery consisted of excision of the sinus and primary closure in patients of female sex and with sinus of small dimensions. Excision and Limberg flap was performed in male patients with a large sinus. Conservative treatment was successful in almost 50% of the patients. Excision and Limberg flap reconstruction had fewer recurrences than excision and primary closure; however, patients were less satisfied from an aesthetic point of view. Therapeutic approach to patients with pilonidal sinus should be modified according to the clinical conditions of the patient and anatomic characteristics of sinus.

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Section: Discussionmentioning

confidence: 99%

Therapeutic approaches to patients with pilonidal sinus based on specific clinical characteristics

et al. 2012

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“…Again, this is reported frequently, with rates of 3.0-12.5% for various flap reconstructions. 14,17,19,20 These rates are perhaps not surprising given the anatomical location and the need for early post-operative mobilisation, which may predispose to movement across the wound edges. Other factors influencing wound healing such as smoking were not assessed in this study.…”

Section: Discussionmentioning

confidence: 99%

Outcomes in the repair of pilonidal sinus disease excision wounds using a parasacral perforator flap

Venus

Titley

2012

annals

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Outcomes in the repair of pilonidal sinus disease excision wounds using a parasacral perforator flap MR Venus, OG Titley University Hospitals Birmingham NHS Foundation Trust, UK aBsTraCT INTRODUCTION The ideal treatment for pilonidal sinus disease has yet to be defined. There are many approaches described in the literature. METHODS Thirty-five consecutive patients who underwent wide excision of pilonidal sinus disease had the wound repaired using a parasacral perforator flap. Outcomes were assessed by case notes analysis and follow-up telephone and postal questionnaires. RESULTS There were ten minor complications including six minor wound edge dehiscences. There were two ischaemic complications, with one flap loss. There were 3 recurrences of pilonidal disease at a mean follow-up of 33 months, giving a 5-year recurrence free rate of 86%. Of the patients questioned, all would recommend the procedure to someone else despite 69% being dissatisfied with the cosmetic outcome. CONCLUSIONS This series indicates that the parasacral perforator flap technique is able to repair pilonidal sinus excision wounds successfully with minimal morbidity and a low recurrence rate at a mean of follow-up of 33 months. The study suggests that it may be a technique best reserved for recurrent cases of pilonidal sinus disease. Patients feel the procedure is successful despite reservations regarding the cosmetic outcome.

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“…Although good results have been achieved after Z/V-Yplasties and rhomboid/Limberg flaps 106 -118 , two RCTs suggest that V-Y and Limberg flap procedures are not superior to a simple primary closure technique 119 or laying open with marsupialization 120 . These more complex flap procedures include excision of the abscess, require general anaesthesia and a longer hospital stay, and have occasional complications that need further inpatient surgery.…”

Section: More Complex Skin Flap Procedures After Wide Excisional Surgerymentioning

confidence: 97%

Simple day-case surgery for pilonidal sinus disease

Thompson

Senapati

Kitchen

2010

British Journal of Surgery

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Prospective randomized controlled trial comparing V–Y advancement flap with primary suture methods in pilonidal disease

Cited by 62 publications

References 16 publications

Therapeutic approaches to patients with pilonidal sinus based on specific clinical characteristics

Therapeutic approaches to patients with pilonidal sinus based on specific clinical characteristics

Outcomes in the repair of pilonidal sinus disease excision wounds using a parasacral perforator flap

Simple day-case surgery for pilonidal sinus disease

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