Abstract
PURPOSE: Several methods of managing the sacrococcygeal pilonidal sinus have been described, and fervent arguments for each form of therapy can be found in the literature. Recurrence unfortunately plagues all forms of therapy, though it is evident that the lowest rates have been reported for procedures involving local flap reconstruction. We conducted this case review to evaluate the validity of a simple reconstructive procedure for recurrent pilonidal disease. METHODS: We describe the application of the V-Y fasciocutaneous advancement flap to reconstruct the defect following radical excision of recurrent pilonidal sinus in five consecutive patients. RESULTS: Tension-free closure offers the benefits of a reduction in postoperative pain, less restriction in activity, and a shorter hospital stay. CONCLUSIONS: Preliminary results offer evidence of the efficacy of the simple reconstructive procedure in the management of difficult cases.
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Eftahia M, Abcarian H. The dilemma of pilonidal disease: surgical treatment. Dis Colon Rectum 1977;20:279–86.
Bose B, Candy T. Radical cure of pilonidal sinus by Z-plasty. Am J Surg 1970;120:783–6.
Roth RF, Moorman WL. Treatment of pilonidal sinus and cyst by conservative excision and W-plasty closure. Plast Reconstr Surg 1977;60:412–15.
Azab ASG, Kamal MS, Saad RA, Abou al Atta KA, Ali NA. Radical cure of pilonidal sinus by a transposition rhomboid flap. Br J Surg 1984;71:154–5.
Perez-Curri JA, Temple WJ, Ketcham AS. Gluteus maximus myocutaneous flap for the treatment of recalcitrant pilonidal disease. Dis Colon Rectum 1984;27:262–4.
Notaras MJ. A review of three popular methods of treatment of postnatal (pilonidal) sinus disease. Br J Surg 1970;57:886–90.
Goodall P. The aetiology and treatment of pilonidal sinus. Br J Surg 1961;49:212–18.
Obeid SA. A new technique for treatment of pilonidal sinus. Dis Colon Rectum 1988;31:879–85.
Kitchen PR. Pilonidal sinus: excision and primary closure with a laterilised wound-The Karydakis operation. Aust N Z J Surg 1982;52:302–5.
Karydakis GE. New approach to the problem of pilonidal sinus. Lancet 1973;2:1414–15.
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Read at The Pennsylvania Colon and Rectal Meeting, Philadelphia, Pennsylvania, May 15, 1992 and at the meeting of The Clinical Congress of the American College of Surgeons, San Francisco, California, October 10–15, 1993.
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Khatri, V.P., Espinosa, M.H. & Amin, A.K. Management of recurrent pilonidal sinus by simple V-Y fasciocutaneous flap. Dis Colon Rectum 37, 1232–1235 (1994). https://doi.org/10.1007/BF02257787
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DOI: https://doi.org/10.1007/BF02257787