Sinus pilonidalis – possibilities of surgical treatment
Authors:
J. Jandík
Authors place of work:
Chirurgické oddělení, Oblastní nemocnice Náchod, a. s., Nemocnice Rychnov n. Kněžnou
primář: MUDr. D. W. Shihata
Published in the journal:
Rozhl. Chir., 2014, roč. 93, č. 10, s. 496-501.
Category:
Original articles
Summary
Introduction:
The author presents current knowledge about the therapy of pilonidal disease and compares it to his own experience with a group of patients treated for this disease in the period 2007−2014.
Material and methods:
169 patients with symptoms of pilonidal disease were treated; in 72 cases, surgery was indicated because of chronic state or recurrence of the disease. In 2007−2012, radical excision of sinus with primary suture of the defect was performed in 42 cases. In the period 2012−2014, 30 patients were operated on and the defect after excision was closed by rhomboid fasciocutaneous flap.
Results:
When both methods of defect closure were compared, the second method showed significantly less surgical site infections, shorter time of drainage and hospitalization and overall healing.
Conclusion:
Closing the defect with rhomboid flap seems to be the optimal method for the surgical approach to pilonidal disease.
Key words:
pilonidal disease – fasciocutaneous rhomboid flap – Limberg flap
Zdroje
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