Rhomboid flap procedure for pilonidal sinus: results from 67 cases

Milito, G; Cortese, Francesco; Casciani, Cu

doi:10.1007/s003840050146

Cited by 53 publications

(38 citation statements)

References 11 publications

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“…All patient returned to their normal activities in 8 to 14 days post operatively. [14][15][16] Surgery should not only eradicate the existing sinus and crevice in which the hair tends to accumulate but also aim to establish complete and rapid primary healing and to prevent recurrence. 17,18 The ideal treatment of PNS remains a topic of debate.…”

Section: Resultsmentioning

confidence: 99%

Excision and primary closure of pilonidal sinus: excellent results

et al. 2017

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Background: Pilonidal sinus (PNS) is an acquired condition described as a chronic sinus containing hairs and found between the buttocks. Best surgical method is still being searched for treatment of PNS in terms of minimizing disease recurrence and patient discomfort.Methods: The prospective study of 40 patient undergoing excision and primary closure of pilonidal sinus from October 2013 to July 2016 at Max Super Speciality Hospital Gurgaon.Results: Mean operative time was 30 minutes. One patient developed hematoma due to blockage of drain on post-operative day 2 which was flushed with saline and drain made patent, one patient developed seroma and one had wound infection. Rest other patients had uneventful course post operatively. No recurrence was noted over 6 month follow up.Conclusions: We advocate this method of treating PNS which is simple, less time consuming, short hospital stay, rapid healing, shorter time off work, minimal recurrence with excellent results.

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Section: Resultsmentioning

confidence: 99%

Excision and primary closure of pilonidal sinus: excellent results

et al. 2017

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“…3 These include conservative nonexcisional care, 4 phenol injection, [5][6][7][8] pit excision and tract brushing (Millar-Lord procedure), 9,10 Bascom procedure, [11][12][13] excision and leaving the wound to granulate, [14][15][16][17] excision and marsupialisation, 17,18 excision and primary closure with mid-line or asymmetric incisions, [14][15][16][17][18][19][20] or excision and closure using local flaps. The latter include Karydakis procedure, [21][22][23][24] Romboid and Limberg flaps, [25][26][27][28] Z-plasty, [29][30][31] and V-Y flaps, [32][33][34][35] or other reconstructions. [36][37][38] Each method has its own advocates.…”

Section: Discussionmentioning

confidence: 99%

“…Techniques, which flatten the natal cleft or avoid a mid-line scar [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] are reported to have fewer recurrences. 2,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] In this study, we used a new, simple technique to flatten the natal cleft, namely the division of the coccycutaneous attachments. 1 This has resulted in elevation of the skin of the lower angle of the wound, 2c m on average, without any untoward effects.…”

Section: Complication Patients (N)mentioning

confidence: 99%

Sinus Excision, Release of Coccycutaneous Attachments and Dermal-Subcuticular Closure (XRD Procedure): A Novel Technique in Flattening the Natal Cleft in Pilonidal Sinus Treatment

Marzouk

AbouZeid

Antoniou

et al. 2008

annals

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INTRODUCTION The objective of this study was to analyse, prospectively, the outcome of a new technique -excision of pilonidal sinus and flattening the natal cleft by division of the coccycutaneous attachments at the lower end of the incision.PATIENTS AND METHODS Sixty-six consecutive patients with chronic pilonidal sinuses were treated between 1995 and 2001. The procedure consisted of an elliptical, wide, local excision, release of the coccycutaneous attachments and primary closure using dermal-subcuticular closure (XRD). Suction drains were used until drainage was minimal. The height of skin level at the lower angle of the wound from the coccyx was measured intra-operatively before and after division of the coccycutaneous attachments. Postoperatively, patients were assessed for hospital stay, return to normal activity, complications and recurrence.RESULTS Sixty-four patients (97%) were males, median age 27 years. The height of skin level rose from a mean of 1.8 cm (95% CI, 1.78-1.85) to a mean of 3.8 cm (95% CI, 3.77-3.88; P < 0.001). Morbidity affected 12 patients (18%), epidermal separation of the lower wound angles (6 patients), seromas (5 patients) and 1 wound dehiscence at 2 weeks. All other wounds healed primarily without dehiscence. There were no recurrences after a median follow-up of 22.5 months (range, 12-38 months).CONCLUSIONS Release of the coccycutaneous attachments is an easy technique to learn, which seems to be an effective way of flattening the natal cleft and may result in lower recurrence rate. This technique should be tried in uncomplicated pilonidal sinus disease before more complex procedures are attempted. MARZOUK ABOU-ZEID ANTONIOU HAJI BENZIGER NOVEL TECHNIQUE IN FLATTENING THE NATAL CLEFT IN PILONIDAL SINUS TREATMENT

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“…Today the most common plasty methods are Limberg flap, V-Y plasty, and Z plasty. In the literature, wound infection, wound separation and seroma rates after V-Y plasty are reported respectively as: 0-10.2%, 0-10.2% and 0-4.6% (Schoeller et al, 1997;Milito et al, 1998;Nursal et al, 2010). In a study including 353 cases operated with Limberg flap, the recurrence rate is reported as 3.1%, and infection rate as 6.5% (Mentes et al, 2008).…”

Section: Plastiesmentioning

confidence: 99%

Novel Approaches in Pilonidal Sinus Treatment

2016

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Pilonidal sinus is a very common inflammatory disease of the gluteal region. The ideal method of pilonidal sinus treatment should have a low recurrence rate with minimum excision. Moreover, the treatment method should have a short hospitalization time, should let the patient return to his normal life rapidly, should cause minimum loss of labour and should result a small scar only. In the presented review, modalities in pilonidal sinus treatment in the light of current information in the literature are evaluated.

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Rhomboid flap procedure for pilonidal sinus: results from 67 cases

Cited by 53 publications

References 11 publications

Excision and primary closure of pilonidal sinus: excellent results

Excision and primary closure of pilonidal sinus: excellent results

Sinus Excision, Release of Coccycutaneous Attachments and Dermal-Subcuticular Closure (XRD Procedure): A Novel Technique in Flattening the Natal Cleft in Pilonidal Sinus Treatment

Novel Approaches in Pilonidal Sinus Treatment

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