Recurrent Pilonidal Sinus: Lay Open or Flap Closure, Does It Differ?

Yoldaş, Tayfun; Karaca, Cezmi; Ünalp, Ömer Vedat; Uğuz, Alper; Çalışkan, Cemil; Akgün, Erhan; Korkut, Mustafa

doi:10.9738/intsurg-d-13-00081.1

Cited by 30 publications

(22 citation statements)

References 24 publications

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“…In the closed methods, there are different types of wound closure, including midline closure, an off-midline closure or a flap reconstruction. However, none of these techniques are considered optimum in the treatment of pilonidal sinus disease [13].…”

Section: Discussionmentioning

confidence: 99%

Pilonidal Sinus Excision: New Vision

Nada¹,

Salama²

2016

Surgery Curr Res

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Section: Discussionmentioning

confidence: 99%

Pilonidal Sinus Excision: New Vision

Nada¹,

Salama²

2016

Surgery Curr Res

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“…Its prevalence is 1-4 per 25000 population, with a 40% five-year recurrence rate (1)(2)(3). Approximately 70% of PSD patients are between 20-30 years of age (4).…”

Section: Introductionmentioning

confidence: 99%

Recurrent pilonidal disease surgery: Is it second primary or reoperative surgery?

Uçar¹,

Cartı²,

Oymacı³

et al. 2016

UCD

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Objective: Pilonidal sinus disease (PSD) effects mainly young men's social and work life with frequent recurrence rate. Reoperation for unimproved or recurrent disease is somehow troublesome. Surgeons may think that changing treatment strategy after recurrence may prevent further relapses of PSD. We analyzed patients with recurrent pilonidal sinus to determine their predisposing features for recurrence and the outcomes of the preferred surgical methods. Material and Methods:From 2007 to 2012, out of 95 recurrent pilonidal sinus disease (rPSD) patients, 62 operated cases were included and examined retrospectively. Their retrospective data were examined for demographics, 1 st and 2 nd operation types, patient satisfaction and pain scores. For cases with insufficient preoperative or postoperative data, phone call and interviews were done to obtain data. Some were kindly invited to the outpatient examination. Student's t test, Mann-Whitney U test, and Kaplan Meier test for disease free survival time were used where appropriate. P values less than 0.05 were accepted to be statistically significant. Results:Total of 62 rPSD patients were examined. Male:female ratio was 2.9:1. The mean age after 1 st and 2 nd operations were 24.7 and 28.1 years, respectively. One and five-year recurrence rates were 33.9% and 66.1%, respectively. The mean interval between the 1 st and 2 nd operations was 45.6 months. Excision and midline closure was the most frequent type of operation followed by flap reconstructions and excision-lay open procedures. The 1 st operation types of rPSD cases were different from that of 2 nd operations. Pain perception and satisfaction scores were better in flap reconstruction groups. Conclusion:Reoperative surgery of rPSD is satisfactory with certain precautions. Relapses after flap reconstruction procedures with a well-being period should be referred as second primary disease. Changing surgical strategy is not always indicated as some patients with recurrence have relapsing or second primary disease that have distinct clinical course. Re-flap surgery after any kind of relapse is well appreciated.

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“…The conventional treatment consists of excision and healing by secondary intention. 9 Aydede et al designed a study to compare three methods namely marsupialisation, primary midline closure and skin flaps. No difference in wound infection and recurrence rates was observed between three methods and emphasized that these methods are still useful.…”

Section: Discussionmentioning

confidence: 99%

Lateral advancement flap for sacrococcygeal pilonidal sinus: reassessment study

Arora¹,

Arora²,

Arora³

2017

Int Surg J

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Background: Sacrococcygeal pilonidal sinus disease is treated better with various flaps and primary closure. This study was aimed to describe the lateral advancement flap in surgical treatment of sacrococcygeal pilonidal sinus disease in an effort to redefine the results of this technique. It is a fascio-adipo-cutaneous flap which is advanced from one buttock to opposite across the natal cleft and providing the off midline closure with cleft lift.Methods: The results of this technique were assessed in 65 patients. The technique consists of adequate excisions of sinus, tracts and surrounding inflamed tissue till depth of presacral fascia. The defect was covered with a thick lateral advancement flap and produce an off midline closure and cleft lift.Results: The sixty patients were hirsute males and five were hairless females. The maximum length and breadth covered was 7x5cm. The operative time taken was 40±10 minutes. The average hospital stay was 5 to 7 days. The surgical site infection in 4 patients and wound dehiscence occurred in one patient only. No recurrence was recorded in follow up period of one year.Conclusions: The lateral fascio-cutaneous advancement flap is gaining popularity for its ease of designing and harvesting. The short hospital stay, minimum postoperative complications, no recurrence and acceptable aesthetic results make this a uniformly acceptable technique for surgical primary closure of pilonidal sinus disease.

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Recurrent Pilonidal Sinus: Lay Open or Flap Closure, Does It Differ?

Cited by 30 publications

References 24 publications

Pilonidal Sinus Excision: New Vision

Pilonidal Sinus Excision: New Vision

Recurrent pilonidal disease surgery: Is it second primary or reoperative surgery?

Lateral advancement flap for sacrococcygeal pilonidal sinus: reassessment study

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