The V-Y flap technique in complicated and recurrent pilonidal sinus disease

Area of Science:

• Surgical Innovation
• Proctology
• Wound Healing

Background:

• Pilonidal sinus disease (PSD) can be complex and challenging to treat.
• Complicated PSD often involves larger defects and multiple sinus tracts.
• The V-Y advancement flap is a surgical technique explored for PSD treatment.

Purpose of the Study:

• To evaluate the early and long-term (5-year) outcomes of the V-Y advancement flap technique.
• To assess the efficacy and safety of this method in treating complicated pilonidal sinus disease.
• To compare outcomes with existing literature data.

Main Methods:

• Retrospective analysis of 61 patients with complicated PSD treated with V-Y advancement flap.
• Inclusion criteria: defect size ≥ 10 cm or multiple sinus tunnels.
• Data collected: demographics, surgical details, hospitalization duration, drain removal time, complications, and 5-year relapse rates.

Main Results:

• No early or late relapses were observed in any patient group over 5 years.
• Low rates of postoperative complications including wound infection, hematoma, seroma, and dehiscence.
• Mean operative time varied between unilateral (61.02 min) and bilateral (96.70 min) V-Y plasty.

Conclusions:

• The V-Y advancement flap technique is an efficient and safe method for treating complicated pilonidal sinus disease.
• The procedure demonstrates low relapse and complication rates, supporting its clinical application.
• This technique offers a viable surgical option for complex PSD cases.