Sinus pilonidalis – possibilities of surgical treatment

Česká verze

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: Původní práce

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

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