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Related Experiment Videos

Elliptical rotation flap for pilonidal sinus.

Gürel Neşşar1, Cüneyt Kayaalp, Canbek Seven

  • 1Department of Gastrointestinal Surgery, Türkiye Yüksek Yhtisas Hospital, Sýhhiye, Ankara, Turkey. gurelnessar@hotmail.com

American Journal of Surgery
|February 11, 2004
PubMed
Summary

The elliptical rotation flap technique for pilonidal sinus surgery resulted in no recurrence and primary healing within two weeks for all patients. This method offers improved comfort and shorter hospital stays.

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Area of Science:

  • Surgical techniques
  • Proctology
  • Wound healing

Background:

  • Symptomatic pilonidal sinus requires surgical intervention, often involving extensive tissue excision.
  • The method for closing the resulting surgical defect remains a subject of debate.
  • Elliptical rotation flaps have shown promise in pilonidal sinus treatment, with reported zero recurrence rates.

Purpose of the Study:

  • To evaluate the efficacy of the elliptical rotation flap technique for closing surgical defects in pilonidal sinus treatment.
  • To assess recurrence rates, healing times, and patient outcomes associated with this surgical approach.

Main Methods:

  • A prospective study involving 20 patients treated between April 1996 and June 2001.
  • Surgical procedure involved vertical elliptical excision of diseased tissue followed by closure with an elliptical cutaneous rotation flap.

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Main Results:

  • Twenty patients (mean age 23.4 years) underwent the procedure with a mean follow-up of 42 months.
  • All patients achieved primary wound healing within two weeks and were discharged on postoperative day one.
  • No instances of pilonidal sinus recurrence were observed in the study cohort.

Conclusions:

  • The elliptical rotation flap is a recommended technique for selected patients undergoing pilonidal sinus surgery.
  • This method provides significant benefits including enhanced patient comfort, reduced hospital stay, and a zero recurrence rate.