Treatment of pilonidal sinus by excision and rhomboid flap

Romero, Carlos Jiménez; Alcalde, Murilo Priori; Martin, Fenner; Pulido, Ana María; Rico, P.

doi:10.1007/bf00303275

Cited by 15 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are other factors, which may have a more significant influence on septic complication such as the preoperative or postoperative use of antibiotics. 41,100 Unfortunately only one third of the publications mentions whether antibiotics were used or not 8,9,21,22,25,27,33,36,41,44,51,54,57,[62][63][64][67][68][69]71,73,74,77,79,87,100,101 and therefore no statement about the role of antibiotics can be included in this overview. Other factors influencing septic complications such as preoperative rinsing of the wound or wound-drainage were mentioned.…”

Section: Septic Complicationmentioning

confidence: 99%

Primary Closure Techniques in Chronic Pilonidal Sinus

Petersen¹,

Koch²,

Stelzner³

et al. 2002

Diseases of the Colon &Amp; Rectum

218

View full text Add to dashboard Cite

Beside the various statistical considerations when using a pooled data analysis combining results from the literature, this overview suggests a significant benefit of asymmetric-oblique closure techniques or flap techniques in comparison with simple closure in the midline. Thus, we recommend an asymmetric closure technique for primary closure of a chronic pilonidal sinus. These asymmetric procedures provide better results than the simple closure in the natal midline. Furthermore, they are not as sophisticated as the full-thickness plasty techniques.

show abstract

Section: Septic Complicationmentioning

confidence: 99%

Primary Closure Techniques in Chronic Pilonidal Sinus

Petersen¹,

Koch²,

Stelzner³

et al. 2002

Diseases of the Colon &Amp; Rectum

218

View full text Add to dashboard Cite

show abstract

“…In closed treatment, the treatment period is shortened, but the indication of simple closure by suturing is limited to lesions occupying a small area. Relatively large defects are indications of Z plasty and local skin flaps, and their surgical treatment, which involves scar formation, is highly invasive [3,4]. In contrast, we have reported the reconstruction using a sacral adipofascial turnover flap [5].…”

Section: Discussionmentioning

confidence: 98%

Less invasive treatment for the pilonidal sinus combined use of negative-pressure wound therapy

2019

View full text Add to dashboard Cite

In treating pilonidal sinus of the sacral region, complete resection of the lesion and closure of the soft tissue defect/dead space resulting from fistulectomy is important. Insufficient closure of dead space frequently leads to a subsequent infection and wound dehiscence, with complications. We treated 4 patients with pilonidal sinus using negative-pressure wound therapy (NPWT) for closing the soft tissue defect after surgical resection and, by reducing the dead space in a short period, could close the wound by suturing in a second operation. The NPWT was continued for 14-21 (mean, 17.5) days, by which time satisfactory granulation was observed in the wound base, and closure by suturing was possible. In one patient, the NPWT was suspended until infection was controlled by lavage. The second operation was carried out 16-34 (mean, 24.5) days after the first operation. Primary healing was obtained in all patients. During a postoperative follow-up period of 12-18 (mean, 16) months, no recurrence was noted in any patient. This method is advantageous in that it is simple, reliable for closing the dead space, only slightly invasive, and leaves less obvious operative scars, although it required a two-stage operation. The procedure can also be indicated for complex infected lesions and a wide range of defects, and is useful for the treatment of pilonidal sinus. Level of evidence: Level IV, therapeutic study.

show abstract

“…To eliminate the predisposing factors by flattening the natal cleft several plastic or reconstructive techniques such as Z‐plasty [ 5, 7, 9, 10], W‐plasty [ 11, 12], lateralized wound closure [ 2, 6, 13], V‐Y advancement flap [ 14, 15], rotating flap [ 3] and transposition rhomboid [ 16–19] or rhombic (Limberg) flaps [ 20, 21] have been proposed with the obvious advantages of lower infection and recurrence rates, a shorter hospital stay and better aesthetic results.…”

Section: Discussionmentioning

confidence: 99%

“…Azab et al [16] proposed a transposition rhomboid and Alver et al [20] proposed the transposition rhombic¯ap to cover the defect following rhombic excision of a pilonidal sinus. Following these pioneers, several series using this technique have been reported without recurrence [18,19,21] (Table 1). We encountered recurrence in three cases (2%) who had incomplete excision of the postanal skin where a part of the wound remained in the midline.…”

Section: Discussionmentioning

confidence: 99%

Pilonidal sinus: experience with the Limberg flap

Tekin

1999

Colorectal Disease

View full text Add to dashboard Cite

A personal series of 162 patients with chronic pilonidal disease was treated by rhombic excision and Limberg transposition flap. Each sinus was totally excised and covered primarily by a fasciocutaneous Limberg flap. Full primary healing was obtained in 161 out of 162 patients. One patient had ischaemia which resulted in necrosis of the flap tips that healed later with a scar. Minor infection occurred in 12 patients (7%). The average hospital stay was 4.2 days, and no patient remained in hospital more than 12 days. The mean follow-up period was 18 months, and three recurrences (2%) have occurred. Surgery for pilonidal sinus should not only eradicate the presenting sinus formation but should also aim to eliminate factors that predispose to formation of another sinus. This can be achieved using a Limberg flap which reduces the depth of the cleft and ensures that all parts of the wound and all suture holes are away from the midline.

show abstract

Treatment of pilonidal sinus by excision and rhomboid flap

Cited by 15 publications

References 16 publications

Primary Closure Techniques in Chronic Pilonidal Sinus

Primary Closure Techniques in Chronic Pilonidal Sinus

Less invasive treatment for the pilonidal sinus combined use of negative-pressure wound therapy

Pilonidal sinus: experience with the Limberg flap

Contact Info

Product

Resources

About