Radical cure of pilonidal sinus by Z-plasty

Bose, Bireswar; Candy, J W

doi:10.1016/s0002-9610(70)80049-6

Cited by 57 publications

(39 citation statements)

References 9 publications

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“…3 und 4) erreicht werden (Rezidivrate von 0-10% bzw. 0-2,5%) [1,3,11,12,14,17,20,29,30,34,39,40], wobei für die Z-Plastik eine relativ hohe Rate an Zipfelspitzennekrosen, Sensibilitätsausfällen sowie Unzufriedenheit der Patienten mit dem kosmetischen Ergebnis berichtet wurden [7,11,39].…”

Section: Diskussionunclassified

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Erhöhtes Rezidivrisiko nach primärem medianem Wundverschluss bei Patienten mit Pilonidalsinus

Iesalnieks¹,

Fürst²,

Rentsch³

et al. 2003

Chirurg

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Section: Diskussionunclassified

“…B. Karydakis-Operation, Limberg's Lappen, Z-Plastik, V-Y-fasziokutaner Lappen, schräge Exzision. Die postoperative Komplikationsrate konnte mit Hilfe dieser Verfahren in den meisten Berichten unter 10% und die Rezidivrate unter 5% gehalten werden [2,4,5,6,7,8,11,12,14,16,17,20,22,24,30,31,32,35,39,40].…”

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Erhöhtes Rezidivrisiko nach primärem medianem Wundverschluss bei Patienten mit Pilonidalsinus

Iesalnieks¹,

Fürst²,

Rentsch³

et al. 2003

Chirurg

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“…He found no recurrences at follow-up of 1 to 10 years. Bose et al [12] found 20 % necrosis and 10 % wound infection, and one patient was with hematoma after Z-plasty. Hodgson et al [13] compared Z-plasty with incision and drainage or excision with marsupialization for pilonidal sinuses.…”

Section: Discussionmentioning

confidence: 96%

A Retrospective Study of 40 Cases of Pilonidal Sinus with Excision of Tract and Z-plasty as Treatment of Choice for Both Primary and Recurrent Cases

2013

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Pilonidal sinus is a common chronic disease of the sacrococcygeal region. The treatment varies according to the clinical presentation of the disease. Although many surgical methods have been suggested, an ideal method is still lacking because of high recurrence rates. The aim of this work is to assess the role of Z-plasty in promoting primary healing in pilonidal disease and to evaluate morbidity and recurrence. This study included 40 patients (36 males and 4 females) who underwent excision of sinus and Z-plasty closure for sacrococcygeal pilonidal sinus. The follow-up period ranged from 6 to 12 months. There were 36 males and 4 females with a median age of 25 years. The mean hospital stay was 2 days. The mean time to return to work after discharge from the hospital was 14 days. There were no recurrences, and all patients were satisfied with the cosmesis. Two patients (5 %) had numbness over the flap. Necrosis of flaps did not occur in any patient. Only three patients were noticed to have wound infection (7.5 %). Five patients (12.5 %) developed wound seroma. Although requiring some technical expertise, excision of sinus and Z-plasty offer superior results with respect to recurrence in the hospital stay and cosmesis of patients with pilonidal sinus.

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“…Factors implicated in its etiology Fig. 2 Multiple sinus tracts excised are large buttocks with deep natal cleft [9][10][11], adolescent or young males with positive family history, folliculitis at another site, obesity [12], occupations requiring prolonged sitting, traveling or driving, excessive body hair [13], and poor local hygiene [13]. Although various modalities of treatment have been described, no consensus has emerged as all have met with varying degrees of recurrence [14].…”

Section: Discussionmentioning

confidence: 99%

V-Y Advancement Flap Technique in Resurfacing Postexcisional Defect in Cases with Pilonidal Sinus Disease—Study of 25 Cases

et al. 2012

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We report our experience of technique of V-Yplasty in treatment of pilonidal sinus. A retrospective study of 25 patients performed from 2005 to 2010 at Deenanath Mangeshkar Hospital and Sassoon General Hospitals, Pune, was performed. The unilateral or bilateral V-Y advancement flap technique was used in the management of these patients. The outcome was assessed on the basis of efficacy of flap surgery in achieving wound healing and recurrence. The follow-up ranged from 6 months to 5 years. The study included 25 cases of pilonidal sinus. Nineteen patients (76%) underwent unilateral V-Y-plasty and six patients (24%) underwent bilateral V-Y-plasty. Eighty-four percent cases were from the age group of 21-30 years. Sixty-eight percent patients were mobilized on the fourth postoperative day and 32% patients were mobilized on the third postoperative day. No recurrence was found in any of the patients. Itching and hypertrophic scar were found in two cases (8%), and decreased sensation was found in one patient (4%). The V-Y advancement flap technique for the treatment of pilonidal sinus is efficient and can reduce recurrence. Unilateral/ bilateral V-Y flap achieves suture line away from midline, obliteration of natal fold and coverage of defect without tension. In follow-up none of the patients showed recurrence. This technique has distinctly less morbidity and avoids of multiple dressings, reducing the total cost of the treatment. V-Y advancement flap is distinctly better choice among the available flaps as it is less time-consuming, requires less technical expertise as compared to Z-plasty and perforator flaps, and is reliable and easy to plan.

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Radical cure of pilonidal sinus by Z-plasty

Cited by 57 publications

References 9 publications

Erhöhtes Rezidivrisiko nach primärem medianem Wundverschluss bei Patienten mit Pilonidalsinus

Erhöhtes Rezidivrisiko nach primärem medianem Wundverschluss bei Patienten mit Pilonidalsinus

A Retrospective Study of 40 Cases of Pilonidal Sinus with Excision of Tract and Z-plasty as Treatment of Choice for Both Primary and Recurrent Cases

V-Y Advancement Flap Technique in Resurfacing Postexcisional Defect in Cases with Pilonidal Sinus Disease—Study of 25 Cases

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