Z-plasty a rational and effective technique for pilonidal sinus

Dogra, Shavinder; Rao, Pankaj P.

doi:10.1007/s13126-014-0131-z

Cited by 10 publications

(8 citation statements)

References 5 publications

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“…It also obliterates the crease, which minimizes friction and reduces the accumulation of debris. 23 The infection rate/wound-related problem in this study was 0.0% and this can be attributed to elimination of various factors involved in wound dehiscence and surgical site infections.…”

Section: Discussionmentioning

confidence: 58%

Outcomes of Coccygectomy Using the “Z” Plasty Technique of Wound Closure

Kulkarni

Tapashetti

Tambwekar

2019

Global Spine Journal

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Study Design:Technical note.Objectives:Coccygectomy for chronic coccydynia has a high rate of successful clinical outcome. However, the procedure is associated with increased incidence of wound dehiscence and surgical site infection. The main objective was to evaluate the clinical outcomes of coccygectomy using the Z plasty technique of wound closure.Methods:Patients with chronic coccydynia refractory to conservative treatment underwent coccygectomy followed by Z plasty technique of wound closure between January 2013 and February 2018. Primary outcome measure was evaluation of the wound healing in the postoperative period and at follow-up; secondary outcome measure included visual analogue scale (VAS) score for coccygeal pain.Results:Ten patients (male:female 6:4) fulfilled the inclusion criteria. The mean age of patients was 40.78 years (range 19-55 years). The mean follow-up was 1.75 years (range 6 months to 5 years). All wounds healed well with no incidence of wound dehiscence or surgical site infections. The mean VAS improved from 7.33 ± 0.5 to 2.11 ± 1.2 (P < .05). Nine patients reported excellent outcomes and 1 patient reported poor outcome with regards to relief from coccydynia.Conclusion:Z plasty technique of wound closure is recommended as procedure of choice to avoid wound healing problems and surgical site infections associated with coccygectomy. Coccygectomy remains a successful treatment modality for chronic coccydynia.

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Section: Discussionmentioning

confidence: 58%

Outcomes of Coccygectomy Using the “Z” Plasty Technique of Wound Closure

Kulkarni

Tapashetti

Tambwekar

2019

Global Spine Journal

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“…[7] Previously it was known as jeep bottom due to an increase in incidence of PNS in US army recruits at Vietnam who were using the jeep for travelling through the rough terrains. [8] The term pilonidal sinus was coined by Hodges, where pilus means hair and nidus is nest. [9] The intermammary sinus presents as a chronic discharging sinus with a linear indurated track towards the epigastric region, with local discoloration and tenderness.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Analysis of the Surgical Treatment Options for Sacrococcygeal Pilonidal Sinus, with Special Reference to Limberg Flap

Arun¹

2019

jmscr

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Introduction: Pilonidal sinus (PNS) is a vexing problem for a individual. PNS is blind ending track lined with granulation tissue leading to a cystic cavity containing bits and pieces of hair. Aim: To observe and analyse the surgical treatment options for sacrococcygeal pilonidal sinus with a special reference to limberg flap. Material and Methods: The patients presenting with PNS to the general surgery department at a tertiary care centre in north Malabar, Kerala for two years from 2016 were included in this study. All PNS without abscess formation were treated with limberg flap, Z plasty or wide local excision. Those with abscess formation, I&D was done primarily. Later after the abscess healed, wide local excision and healing with secondary intention was followed. Results: 39 cases of sacrococcygeal PNS were included in this study. Karydakis and Bascom method methods were not used. There was single recurrence each after wide excision and limberg flap and 2 after Z plasty in sacrococcygeal pilonidal sinus. Conclusion: Sacrococcygeal pilonidal sinus is a vexing problem. The changes in the hormonal balance during puberty is the triggering factor. Many treatment modalities are in the offering, suggesting that a complete cure may not be possible with any of those available. Wide local excision with primary closure with Limberg flap or Z plasty or wide local exciion with healing by secondary intention are viable options for this condition.

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“…[7] Previously it was known as jeep bottom due to an increase in incidence of PNS in US army recruits at Vietnam who were using the jeep for travelling through the rough terrains. [8] The term pilonidal sinus was coined by Hodges, where pilus means hair and nidus is nest. [9] This condition is commonly seen in hirsuit males which has a blind ending track lined with granulation tissue.…”

Section: Discussionmentioning

confidence: 99%

Pilonidal Sinus, A Vexing Problem With Special Reference To Intermammary Sinus

Arun¹,

M.P²

2017

Ann. Int. Med. Den. Res.

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Background: Pilonidal sinus(PNS) is a vexing problem for an individual and it became more vexing when it is in the form of inter mammary sinus(IMS). PNS is blind ending track lined with granulation tissue leading to a cystic cavity containing bits and pieces of hair. Aim: To assess the risk factors and treatment options for pilonidal sinus at a tertiary care centre with special reference to management of inter mammary sinus. Methods: The patients presenting with PNS to the general surgery department at a tertiary care centre in north Malabar, Kerala from 2009 to 2016 were included in this study. All PNS without abscess formation were treated with Z plasty. Those with abscess formation, I&D were done primarily. Later after the abscess healed, wide local excision and healing with secondary intention was followed. Results: 49 cases of pionidal sinus (39 sacrococcygeal PNS and 10 intermammary )were included in this study. Karydakis and Bascom method methods were not used. There was single recurrence each after wide excision and Z plasty in sacrococcygeal pilonidal sinus and no recurrence in the inter mammary group. Conclusion: Pilonidal sinus especially intermammary sinus is a vexing problem. The changes in the hormonal balance during puberty is the triggering factor. Many treatment modalities are in the offering, suggesting that a complete cure may not be possible with any of those available. Wide local excision with primary closure or Z plasty are two viable options for this condition.

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Z-plasty a rational and effective technique for pilonidal sinus

Cited by 10 publications

References 5 publications

Outcomes of Coccygectomy Using the “Z” Plasty Technique of Wound Closure

Outcomes of Coccygectomy Using the “Z” Plasty Technique of Wound Closure

A Retrospective Analysis of the Surgical Treatment Options for Sacrococcygeal Pilonidal Sinus, with Special Reference to Limberg Flap

Pilonidal Sinus, A Vexing Problem With Special Reference To Intermammary Sinus

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