The Evaluation of a Modified Dufourmentel Flap after S-Type Excision for Pilonidal Sinus Disease
Purpose. The use of an S-type oblique excision with a bilateral gluteus maximus advancement flap has recently been described for the surgical treatment of sacrococcygeal pilonidal sinus (SPS). Its use in wide lesions has been limited due to the need for a full-thickness flap. We describe the use of...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/459147 |
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| author | Murat Yildar Faruk Cavdar Mehmet Kamil Yildiz |
| author_facet | Murat Yildar Faruk Cavdar Mehmet Kamil Yildiz |
| author_sort | Murat Yildar |
| collection | DOAJ |
| description | Purpose. The use of an S-type oblique excision with a bilateral gluteus maximus advancement flap has recently been described for the surgical treatment of sacrococcygeal pilonidal sinus (SPS). Its use in wide lesions has been limited due to the need for a full-thickness flap. We describe the use of an S-type oblique incision together with the Dufourmentel flap in wide lesions. Method. Twenty-one patients were treated using a technique including an S-shaped oblique excision of the sinus tract and a broad-pedicled full-thickness flap resembling a Dufourmentel flap to close the defect. Results. Of the 21 patients, 19 (90.5%) were male and 2 (9.5%) were female. Their mean age was (range 15–36) years. The mean follow-up period was (range 6–23) months. The postoperative complication rate was 4.8% (one patient), and recurrence was seen in one patient (4.8%). The mean return-to-work time was (range 10–18) days. None of the patients reported dissatisfaction with the cosmetic results. Conclusions. This new technique achieved low morbidity and recurrence rates. We anticipate that this will become an important technique in the surgical treatment of SPS if the observed success is confirmed by randomized prospective trials. |
| format | Article |
| id | doaj-art-517a5dc57a7c4e26bd8524bc4cd79448 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-517a5dc57a7c4e26bd8524bc4cd794482025-02-03T01:33:22ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/459147459147The Evaluation of a Modified Dufourmentel Flap after S-Type Excision for Pilonidal Sinus DiseaseMurat Yildar0Faruk Cavdar1Mehmet Kamil Yildiz2Department of General Surgery, Balıkesir University Medical School, Balıkesir, TurkeyDepartment of General Surgery, Yalova State Hospital, Yalova, TurkeyDepartment of General Surgery, Haydarpaşa Numune Training and Research Hospital, İstanbul, TurkeyPurpose. The use of an S-type oblique excision with a bilateral gluteus maximus advancement flap has recently been described for the surgical treatment of sacrococcygeal pilonidal sinus (SPS). Its use in wide lesions has been limited due to the need for a full-thickness flap. We describe the use of an S-type oblique incision together with the Dufourmentel flap in wide lesions. Method. Twenty-one patients were treated using a technique including an S-shaped oblique excision of the sinus tract and a broad-pedicled full-thickness flap resembling a Dufourmentel flap to close the defect. Results. Of the 21 patients, 19 (90.5%) were male and 2 (9.5%) were female. Their mean age was (range 15–36) years. The mean follow-up period was (range 6–23) months. The postoperative complication rate was 4.8% (one patient), and recurrence was seen in one patient (4.8%). The mean return-to-work time was (range 10–18) days. None of the patients reported dissatisfaction with the cosmetic results. Conclusions. This new technique achieved low morbidity and recurrence rates. We anticipate that this will become an important technique in the surgical treatment of SPS if the observed success is confirmed by randomized prospective trials.http://dx.doi.org/10.1155/2013/459147 |
| spellingShingle | Murat Yildar Faruk Cavdar Mehmet Kamil Yildiz The Evaluation of a Modified Dufourmentel Flap after S-Type Excision for Pilonidal Sinus Disease The Scientific World Journal |
| title | The Evaluation of a Modified Dufourmentel Flap after S-Type Excision for Pilonidal Sinus Disease |
| title_full | The Evaluation of a Modified Dufourmentel Flap after S-Type Excision for Pilonidal Sinus Disease |
| title_fullStr | The Evaluation of a Modified Dufourmentel Flap after S-Type Excision for Pilonidal Sinus Disease |
| title_full_unstemmed | The Evaluation of a Modified Dufourmentel Flap after S-Type Excision for Pilonidal Sinus Disease |
| title_short | The Evaluation of a Modified Dufourmentel Flap after S-Type Excision for Pilonidal Sinus Disease |
| title_sort | evaluation of a modified dufourmentel flap after s type excision for pilonidal sinus disease |
| url | http://dx.doi.org/10.1155/2013/459147 |
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