Elliptical rotation flap for pilonidal sinus

Neşşar, Gürel; Kayaalp, Cüneyt; Seven, Canbek

doi:10.1016/j.amjsurg.2003.11.012

Cited by 52 publications

(14 citation statements)

References 18 publications

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“…Techniques such as the Bascom flap procedure and the elliptical rotation flap have been developed, using wound closure away from the midline without tension. 13,14,17,27 It is shown that these types of approaches result in faster healing time and a reduced recurrence rate compared with open healing. 16 The background is an assumption that pilonidal disease primarily is a superficial skin disease that secondarily involves the deeper SC tissue.…”

Section: Discussionmentioning

confidence: 99%

“…7,12 The importance of excising all diseased tissue and suturing away from the midline has been stressed. [15][16][17] However, all excisional procedures carry the risk of creating tissue loss and initiating chronic healing problems necessitating the need for repeated surgery and tissue transfer. One way to overcome this problem is to use less invasive procedures such as sclerosing the sinus 18 -21 or laying open.…”

mentioning

confidence: 99%

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Sinus Excision and Primary Closure Versus Laying Open in Pilonidal Disease: A Prospective Randomized Trial

Lorant

Ribbe

Mahteme

et al. 2011

Diseases of the Colon &Amp; Rectum

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This prospective randomized trial shows that sinus excision and primary closure results in faster healing than laying open does, but there is no difference in healing rate after 1 year. The laying open procedure is minimally invasive with small risks for the patient, and it might therefore be considered more frequently as the first choice of treatment (www.clinicaltrials.gov. Unique identifier: NCT00997048).

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Sinus Excision and Primary Closure Versus Laying Open in Pilonidal Disease: A Prospective Randomized Trial

Lorant

Ribbe

Mahteme

et al. 2011

Diseases of the Colon &Amp; Rectum

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“…To eliminate natal cleft and wound tension, various plastic reconstructive techniques such as Z-plasty, W-plasty, V-Y plasty and various flap techniques have been used. 12 However, adipofascio cutaneous flap, classic Limberg flap, and modified Limberg flap techniques are most recently the common favored techniques.…”

Section: Discussionmentioning

confidence: 99%

Limberg Flap Reconstruction in Treating Sacrococcygeal Pilonidal Sinus

Faruk¹,

Sheikh

Parvin³

et al. 2019

Bangladesh J Med Sci

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Background: Pilonidal sinus is the relatively common condition affecting men almost twice as often as the women we experienced. The estimated incidence is 0.26 per thousand populations in general. The management of pilonidal sinus disease remains controversial, and gold standard treatment modality has yet to be established. Limberg procedure is a safe and reliable technique in the treatment of the sacrococcygeal pilonidal sinus disease, with a low complication and recurrence rates if performed according to the appropriate surgical principles. Methods: This is a Prospective study on 24 patients between the period from July 2014 to Dec 2018 in the Department of Surgery in Bangabandhu Sheikh Mujib Medical University (BSMMU) as well as other different hospitals in Dhaka, Bangladesh. The patients having primary or recurrent pilonidal sinus disease underwent the foresaid surgical treatment. Results: Twenty four patients underwent this operation. Among them, the picture was that 20(83.3%) were males and 4(16.7%) were female. The mean age was 31, (Range: 17-45 years). 6(25%) patients were presented with recurrent sinus and 5 of them had one or more occasion previous surgery. Twenty one patients (87.5%) had full primary healing without any complication. But 1(4.2%) patient had minimal sarcoma, 1(4.2%) patient had superficial infection and the remaining other 1(4.2%) had partial flap necrosis. However, all three healed completely with conservative treatment. The mean length of hospital stay was 2.45 (Range: 1-5) days and the most patients returned to their work within 3 weeks. Conclusion: Limberg flap is very effective for sacrococcygeal pilonidal sinus disease with low complication rates, shorter hospital stay, low recurrence rates, earlier healing and reduced off-work period. The surgery can be easily mastered. We recommend Limberg flap as preferred surgery in the cases of Sacrococcygeal Pilonidal sinus. Bangladesh Journal of Medical Science Vol.19(1) 2020 p.105-109

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“…Recurrence was not observed in any patient in a short follow up. 13 The Limberg flap or rhomboid flap is a random flap that can be raised from any corner of the rhomboid and can be used to close the defect. This flap is used in covering the defects after pilonidal sinus excision.…”

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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Elliptical rotation flap for pilonidal sinus

Cited by 52 publications

References 18 publications

Sinus Excision and Primary Closure Versus Laying Open in Pilonidal Disease: A Prospective Randomized Trial

Sinus Excision and Primary Closure Versus Laying Open in Pilonidal Disease: A Prospective Randomized Trial

Limberg Flap Reconstruction in Treating Sacrococcygeal Pilonidal Sinus

Lateral advancement flap for sacrococcygeal pilonidal sinus: reassessment study

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