Introducing an Asymmetric Cleft Lift Technique as a Uniform Procedure for Pilonidal Sinus Surgery

Rushfeldt, Christian; Bernstein, Adrien; Norderval, Stig; Revhaug, Arthur

doi:10.1177/145749690809700111

Cited by 31 publications

(29 citation statements)

References 15 publications

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“…Studies have shown it to be excellent in refractory cases of pilonidal disease [5,12]. There is a growing community of adult general and colorectal surgeons who believe that the cleft lift procedure is one of the preferred techniques in treating moderate and severe chronic and refractory pilonidal disease [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

A comparison of the cleft lift procedure vs wide excision and packing for the treatment of pilonidal disease in adolescents

Gendy¹,

Glick²,

Hong³

et al. 2011

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

A comparison of the cleft lift procedure vs wide excision and packing for the treatment of pilonidal disease in adolescents

Gendy¹,

Glick²,

Hong³

et al. 2011

Journal of Pediatric Surgery

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“…Operative procedures such as Limberg flap, Karydakis flap, fasiocutaneous V-Y advancement flap reconstruction and Cleft lift procedure are used in recurrent and complicated disease. High rates of success was obtained for the treatment of recurrent disease with these surgical procedures [12][13][14][15]. Besides this, several minimally invasive methods are also available such as laser hair removal and crystallized phenol application and these methods can be applied in postoperative recurrence of pilonidal disease [10,16].…”

Section: Discussionmentioning

confidence: 99%

Crystallized Phenol Treatment in Postoperative Recurrent Pilonidal Disease

Bayhan

Zeren²,

Düzgün³

2016

J Clin Exp Invest

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Objective: A variety of surgical and minimally invasive treatment options are available to treat pilonidal sinus disease. Recurrence after surgery is a major problem. In addition to the surgical treatment of post-surgical recurrences, minimally invasive treatment methods are also available. In our study, we aimed to investigate the results of crystallized phenol application on patients who were admitted to our clinic with post-surgical pilonidal sinus recurrence. Methods:The data of 26 patients who were admitted to our clinic with postoperative pilonidal sinus recurrence and who were treated by crystallized phenol treatment were analyzed. Patients were evaluated in terms of age, gender, previous surgery, crystallized phenol application count, follow -up period and wound infection. Results:Data of 26 patients were analyzed.3 patients (11.5%) were admitted with recurrence after Modified Limberg surgery. 11 patients (42.3%) were admitted with recurrence after Limberg flap surgery and12 patients (46.15%) were admitted with recurrence after primary repair. 19 patients (73.02%) were treated by one time crystallized phenol application. 5 (19. 23%) patients underwent a second time application and provided treatment after the second application. The cure was achieved in 24 (92.3%) patients after repeated applications. Conclusion:Crystallized phenol application is a minimally invasive treatment method that can be applied easily under local anesthesia. The method has a high success rate after repeated applications in patients with recurrence after surgery and is a very good alternative to surgical therapy. Sonuç: Kristalize fenol uygulaması lokal anestezi altında kolaylıkla uygulanabilen minimal invaziv bir yöntemdir. Cerrahi sonrası rekürrens görülen hastalarda tekrarlayan uygulamalar sonrasında yüksek başarı oranına sahiptir ve cerrahi tedaviye çok iyi bir alternatiftir.Anahtar kelimeler: Nüks pilonidal sinüs, kristalize fenol tedavisi, minimal invaziv tedavi Bayhan Z, et al. Treatment of Postoperative Recurrent Pilonidal Disease

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“…Because of the promising early results, they concluded that Bascom procedure can be the standard procedure for chronic pilonidal sinus disease. 12 In this debate of primary closure of defect after surgical excision whether midline or off midline closure, Nessar et al advised extensive excision of the pilonidal disease up to sacral fascia and closed these defects off midline using an elliptical cutaneous rotation flap. These patients were discharged on first postoperative day.…”

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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Introducing an Asymmetric Cleft Lift Technique as a Uniform Procedure for Pilonidal Sinus Surgery

Cited by 31 publications

References 15 publications

A comparison of the cleft lift procedure vs wide excision and packing for the treatment of pilonidal disease in adolescents

A comparison of the cleft lift procedure vs wide excision and packing for the treatment of pilonidal disease in adolescents

Crystallized Phenol Treatment in Postoperative Recurrent Pilonidal Disease

Lateral advancement flap for sacrococcygeal pilonidal sinus: reassessment study

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