V-Y Rotation Advancement Fasciocutaneous Flap for Excisional Defects of Pilonidal Sinus

Sungur, Nezïh; Koçer, Uğur; Uysal, Ahmet Çağrı; Arslan, Cafer; Çöloğlu, Harun; Ulusoy, Gürhan

doi:10.1097/01.prs.0000219170.74059.94

Cited by 25 publications

(19 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Oblique or asymmetric closure techniques such as the Karydakis flap and the Boscom procedure were based on this principle. 19 In our series, we experienced that the S-GAP flap efficiently flattens the intergluteal sulcus.…”

Section: Discussionmentioning

confidence: 95%

Reconstruction of Extensive Pilonidal Sinus Defects With the Use of S-GAP Flaps

Basterzï¹,

Canbaz²,

Aksoy³

et al. 2008

Annals of Plastic Surgery

View full text Add to dashboard Cite

Pilonidal sinus is a chronic intermittent inflammatory condition that is predominantly located in the sacrococcygeal region. For the closure of uncomplicated small pilonidal sinuses, conventional therapeutic techniques including total excision of the sinus and leaving the defect open for secondary healing have been reported with varying success rates. However, the treatment of recurrent and extensive disease remains as a difficult condition. The ideal treatment should be associated with short hospital stay, minimal complication rates, and no disease recurrence. Secondary wound healing after large excision results in a chronic wound that requires cleansing and dressing changes for a long time. The condition also negatively affects the patient's social life. With the progression of reconstructive techniques, the lowest recurrence rates for the treatment of extensive disease have been reported after local flap usage. The purpose of the current article is to report the efficacy of superior gluteal artery perforator flap in the reconstruction of extensive sacrococcygeal pilonidal sinus defects. This perforator flap is a refinement of the classic gluteal musculocutaneous flaps, which have been popularly used for the closure of sacral pressure sores over many years.

show abstract

Section: Discussionmentioning

confidence: 95%

Reconstruction of Extensive Pilonidal Sinus Defects With the Use of S-GAP Flaps

Basterzï¹,

Canbaz²,

Aksoy³

et al. 2008

Annals of Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…4 We observed that this flap did not affect the sensation of the gluteal region. With this study, we could generalize this finding to whole body because we have not seen any sensory impairment, pain, or numbness.…”

Section: Discussionmentioning

confidence: 95%

“…When we indicated the usefulness of this flap on sacral pilonidal sinus defects in our previous study, 4,5 we excluded those patients with sacral pilonidal sinus and fingertip amputation from this article. In this article, we would like to share our experience and the excellent results with V-Y rotation advancement flap on different parts of the body.…”

mentioning

confidence: 99%

A Local Flap That Never Disappoints

Sungur

Kankaya²,

Gürsoy³

et al. 2013

Annals of Plastic Surgery

Self Cite

View full text Add to dashboard Cite

Background: There are lots of ways to close a defect according to the reconstruction ladder. In this article, we would like to share our experience with V-Y rotation advancement flap on different parts of the body. Patients and Methods: Between 2006 and 2009, we performed V-Y rotation advancement flap on 68 patients (average age, 50 years). We performed this flap for decubitus and neuropathic ulcer on 33 patients, for defect reconstruction after tumor removal on 29 patients, and for trauma on 6 patients. Results: The sizes of the defects ranged between 2 Â 2 and 26 Â 16 cm. All flaps survived without any major complications. Patients were satisfied with their scar appearance, and no sensory impairment was seen. Conclusions: V-Y rotation advancement flap restores the defect with a perfect color match and leaves an aesthetically acceptable scar. With its surgical flexibility and durability, this flap disappoints neither the surgeon nor the patient.

show abstract

“…In general, they lack soft tissue and skin to cover the defect. To solve this problem, we use V-Y rotation advancement flap, which is first described by Argamosa [3] and used by many surgeons [6,11,37], bilaterally in fingertip amputations. Rotation besides advancement makes this flap more mobile and easier to cover larger defects in all amputation planes.…”

Section: Introductionmentioning

confidence: 99%

Bilateral V–Y Rotation Advancement Flap for Fingertip Amputations

Sungur¹,

Kankaya²,

Yıldız

et al. 2012

Hand (New York, N,Y.)

Self Cite

View full text Add to dashboard Cite

Background Fingertip amputation is the most common type of injury in the upper limb. Goals in fingertip amputation reconstruction are covering the defect, establishing maximum tactile gnosis, keeping the length of the finger, protecting the joint function, acquiring a well-padded pulp tissue, providing a bed for growing nail, obtaining a satisfactory cosmetic appearance and allowing the patient to return to work as soon as possible. Adjacent skin and soft tissue are the best covers for fingertip injuries. However, local homodigital flaps lack enough tissue to cover the defect. To solve this problem, we used V-Y rotation advancement flap bilaterally in fingertip amputations which meets all the reconstruction goals. Rotation besides advancement makes this flap more mobile and easier to cover larger defects in all amputation planes. Methods Between 2007 and 2009, we performed bilateral V-Y rotation advancement flap on seven male patients' pulpa (average age, 37.6 years) whose fingertips were not replantable.Results Fourteen flaps were made on 7 fingers. There was neither total nor partial flap loss. Patients had neither cold intolerance nor scar hypersensitivity. Stiffness of the PIP joint did not occur. No obvious hooked nail occurred in patients who have remaining nail matrix. Because flaps contain neurovascular bundle, there was no difference in sensation and perfusion between the finger's pre-operative and post-operative status. The result was satisfactory with painless pinching. Conclusion In addition to the various and versatile fingertip reconstruction methods, we want to present V-Y rotation advancement flap as a quick, reliable and aesthetic method.

show abstract

V-Y Rotation Advancement Fasciocutaneous Flap for Excisional Defects of Pilonidal Sinus

Abstract: The authors believe that the V-Y rotation advancement flap is a good alternative method for the treatment of pilonidal sinus.

Cited by 25 publications

References 50 publications

Reconstruction of Extensive Pilonidal Sinus Defects With the Use of S-GAP Flaps

Reconstruction of Extensive Pilonidal Sinus Defects With the Use of S-GAP Flaps

A Local Flap That Never Disappoints

Bilateral V–Y Rotation Advancement Flap for Fingertip Amputations

Contact Info

Product

Resources

About