Effectiveness of three flap reconstruction techniques for treatment of sacrococcygeal pilonidal sinus
[Objectives] To investigate the effectiveness of three flap reconstruction techniques (Limberg flap, Karydakis flap, and Bascom Ⅱ procedure) for treating sacrococcygeal pilonidal sinus. [Methods] Sixty patients with non-acute-inflammatory-phase sacrococcygeal pilonidal sinus treated with three flap...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-10-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=510&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
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| Summary: | [Objectives] To investigate the effectiveness of three flap reconstruction techniques (Limberg flap, Karydakis flap, and Bascom Ⅱ procedure) for treating sacrococcygeal pilonidal sinus. [Methods] Sixty patients with non-acute-inflammatory-phase sacrococcygeal pilonidal sinus treated with three flap reconstruction techniques (Limberg flap, Karydakis flap, Bascom Ⅱ procedure) at the Department of Anorectal Diseases, Affiliated Hospital of Nanjing University of Chinese Medicine, between August 2007 and January 2022 were recruited. Depending on the surgical technique, patients were divided into three groups: Limberg flap group (n=29), Karydakis flap group (n=9), and Bascom Ⅱ procedure group (n=22). Duration of surgery, postoperative complications, and postoperative follow-ups were recorded. [Results] The mean (SD) duration of surgery for the Limberg flap group, Karydakis flap group, and Bascom Ⅱ procedure group were 82.4 (21.2) min, 61.7 (28.2) min, and 77.4 (26.2) min, respectively. The number of patients experiencing incision-related postoperative complications were 7 (24.1%), 2, and 5 (22.7%), respectively. For the Limberg flap group, the median follow-up was 90.7 (68.3, 108.0) months, and one (3.4%) patient had recurrence at 10 months after surgery. For the Karydakis flap group, the mean (SD) follow-up was 52.7 (4.2) months, one patient had recurrence at 6 months after surgery. For the Bascom Ⅱ procedure group, the median follow-up was 8.5 (7.7, 17.3) months, two (9.1%) patients had recurrence at 6 months after surgery. [Conclusion] For patients with non-acute-inflammatory-phase sacrococcygeal pilonidal sinus, all of the Limberg flap, Karydakis flap, and Bascom Ⅱ procedure are treatment options with satisfactory effectiveness. |
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| ISSN: | 1674-0491 |