Related Experiment Videos
Rhomboid flap procedure for pilonidal sinus: results from 67 cases
G Milito1, F Cortese, C U Casciani
1Cattedra di Clinica Chirurgica, Università di Roma Tor Vergata, Ospedale Sant'Eugenio, Italy.
International Journal of Colorectal Disease
|August 5, 1998
Summary
Excision and rhomboid flap transposition (RFT) effectively treated chronic pilonidal sinuses in 67 patients. This surgical approach demonstrated high primary healing rates and no late recurrences, indicating a successful long-term outcome for patients.
Area of Science:
- Surgical innovation in proctology
- Wound healing and reconstructive surgery
Background:
- Chronic pilonidal sinus disease presents a significant challenge in proctology.
- Recurrence and complications are common with traditional treatments.
Purpose of the Study:
- To evaluate the efficacy and long-term outcomes of excision and rhomboid flap transposition (RFT) for chronic pilonidal sinus.
- To assess complication rates and patient recovery following RFT.
Main Methods:
- A cohort of 67 patients with chronic pilonidal sinuses underwent surgical treatment.
- The surgical technique involved complete excision of the sinus followed by rhomboid flap transposition.
- Patient outcomes were monitored for primary healing, complications, hospital stay, return to activities, and long-term recurrence.
Main Results:
- Primary healing was achieved in 64 out of 67 patients.
- Minor complications included two cases of seroma and one partial wound dehiscence requiring drainage.
- The average hospital stay was 5.3 days, with all patients returning to normal activities within two weeks.
- Mean follow-up of 74.4 months revealed no late recurrences.
Conclusions:
- Excision and rhomboid flap transposition (RFT) is a highly effective surgical treatment for chronic pilonidal sinus.
- The procedure offers excellent short-term and long-term outcomes with minimal recurrence rates.
- RFT is a reliable reconstructive option for managing pilonidal sinus disease.