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Related Experiment Videos

The rhomboid flap for pilonidal disease.

P J Arumugam1, T V Chandrasekaran, A R Morgan

  • 1Colorectal Unit, Singleton Hospital, Sketty, Swansea SE2 8QA, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|June 5, 2003
PubMed
Summary

The rhomboid flap offers a one-stage surgical solution for pilonidal disease, achieving primary healing with a low recurrence rate. This technique facilitates a quicker return to daily activities for affected patients.

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Area of Science:

  • Surgical innovation in proctology and reconstructive surgery.
  • Management of chronic and recurrent conditions.

Background:

  • Pilonidal sinus disease presents diverse surgical challenges.
  • Recurrence leads to significant patient morbidity and lost work time.

Purpose of the Study:

  • To evaluate the rhomboid flap for one-stage primary healing of pilonidal disease.
  • To assess the flap's associated morbidity and recurrence rates.

Main Methods:

  • Prospective study of 53 patients with pilonidal disease.
  • Utilized a transposition rhomboid flap to close natal cleft.
  • Monitored hospital stay, healing time, infection, breakdown, and recurrence.

Main Results:

  • Median follow-up of 24 months in a cohort of 53 patients (47 male, 6 female).

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  • Superficial wound infection in 13% (7/53), with 7% (4/53) recurrence.
  • Median healing time was 14 days, with all wounds achieving primary closure.

    • Conclusions:

    • The rhomboid flap is effective for complex pilonidal disease cases.
    • It enables early return to activity with minimal postoperative care.
    • Low recurrence and morbidity rates support its use in young, active populations.