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Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Related Experiment Video

Updated: May 24, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

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Published on: July 4, 2019

S-plasty for pilonidal disease: modified primary closure reducing tension.

Jae Keun Kim1, Jin Cheol Jeong, Joung Bum Lee

  • 1Department of Surgery, Armed Forces Capital Hospital, Seongnam, Korea.

Journal of the Korean Surgical Society
|February 21, 2012
PubMed
Summary

S-plasty is a simple surgical technique for pilonidal disease, showing good outcomes with low surgical site infection rates and no recurrences. This method is a viable treatment option in countries with low pilonidal disease incidence.

Keywords:
Pilonidal sinusSurgical flapsSurgical wound infectionsWound closure techniquesWound healing

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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
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A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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09:41

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Area of Science:

  • Surgical outcomes
  • Pilonidal disease treatment
  • Minimally invasive surgery

Background:

  • Pilonidal disease often requires surgical intervention.
  • Midline closures can lead to tension and complications.
  • S-plasty offers an alternative by reducing midline tension.

Purpose of the Study:

  • To evaluate S-plasty outcomes for pilonidal disease.
  • To assess clinical features in patients from a low-incidence region.
  • To determine the efficacy of primary S-plasty closure.

Main Methods:

  • Seventeen patients underwent primary S-plasty.
  • Data collected via prospective database and telephone follow-up.
  • Surgical site infection (SSI) graded per CDC guidelines.

Main Results:

  • 11.7% of patients developed low-grade SSI.
  • Average healing time was 18.1 days.
  • No recurrences observed during a mean 13.5-month follow-up.

Conclusions:

  • Primary S-plasty is a simple and effective treatment for pilonidal disease.
  • Surgical outcomes are comparable to other treatments.
  • S-plasty is a feasible option in low-incidence settings.