26 February 2017 : Clinical Research
A New Surgical Technique for Closure of Pilonidal Sinus Defects: Triangular Closure Technique
Mehmet Mutaf1ABDEF, Metin Temel2ABCEFG*, Mustafa Nihat Koç3DFGDOI: 10.12659/MSM.899879
Med Sci Monit 2017; 23:1033-1042
Abstract
BACKGROUND: We present a clinical experience with a new local flap procedure, namely the triangular closure technique, for reconstruction of sacrococcygeal skin defects resulting from excision of the pilonidal sinus.
MATERIAL AND METHODS: In this technique, the defect is surgically converted to a triangle in shape. Then, the triangular defect is closed by transposition of 2 skin flaps designed in an unequal z-plasty manner. Over 6 years, this technique has been used for closure of defects of chronic pilonidal sinus disease in 27 patients (6 females, 21 males). The size of the defect ranged between 3.5 cm and 12 cm in dimension.
RESULTS: A tension-free defect closure was obtained in all patients. All flaps except one healed with no complications. A mean follow-up of 3.62±1.77 months revealed aesthetically and functionally acceptable results with the obliteration of the natal cleft in all patients. No recurrence was observed in the follow-up period.
CONCLUSIONS: The triangular closure technique was found to be a useful technique for the treatment of pilonidal sinus with favorable results regarding the time before return to work.
Keywords: Dermatologic Surgical Procedures, Pilonidal Sinus, Surgical Flaps
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