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

Overview

Journal Indian J Surg

Specialty General Surgery

Date 2016 Mar 25

PMID 27011534

Citations 4

Authors

Ergun Yucel

Levent Tezcan

O Cem Yilmaz

Mehmet Levhi Akin

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Impact of geography and surgical approach on recurrence in global pilonidal sinus disease.

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Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence.

Stauffer V, Luedi M, Kauf P, Schmid M, Diekmann M, Wieferich K Sci Rep. 2018; 8(1):3058.

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Application of a rhomboid flap for the coverage of defects after malignant breast tumor resection: A case report.

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A New Surgical Technique for Closure of Pilonidal Sinus Defects: Triangular Closure Technique.

Mutaf M, Temel M, Koc M Med Sci Monit. 2017; 23:1033-1042.

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