"Flag Excision and Flap" Procedure: a Novel Modification for Off-Midline Closure After Pilonidal Sinus Excision

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• 作者：Ergun Yucel ; Levent Tezcan ; O. Cem Yilmaz ; Mehmet Levhi Akin
• 关键词：Pilonidal sinus ; Flag excision ; Flap ; Off ; midline closure
• 刊名：Indian Journal of Surgery
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：77
• 期：3-supp
• 页码：1191-1195
• 全文大小：383 KB
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• 作者单位：Ergun Yucel (2)
  Levent Tezcan (1)
  O. Cem Yilmaz (1)
  Mehmet Levhi Akin (2)
  
  2. Department of General Surgery, Gulhane Military Medical Academy, Istanbul, Turkey
  1. Department of General Surgery, Military Hospital, Bursa, Turkey
  
• 刊物主题：Surgery; Pediatric Surgery; Neurosurgery; Plastic Surgery; Cardiac Surgery; Thoracic Surgery;
• 出版者：Springer India
• ISSN：0973-9793

文摘

Pilonidal sinus surgery has evolved with the novel flap techniques, and off-midline closure became a preferred surgical procedure due to shorter recovery time and low recurrence rates. To obtain a better off-midline closure without maceration and a possible wound problem, we modified a novel excision technique. We aimed to present this novel flag modification of rhomboid excision and flap reconstruction experience. From December 2007 to June 2009, 100 patients were treated with flag excision and flap reconstruction under regional anesthesia and followed with a mean of 42 (range 35–55) months. Competent closure results were obtained successfully in all patients without an overlap between incision line and midline. None of the patients had seroma. Two patients (2 %) had partial wound detachment superiorly. None of the patients had recurrence during follow-up. The flag excision and flap reconstruction procedure is an effective and comfortable technique both for the surgeon and the patient with a quick healing period and low complication rates without maceration.