Pilonidal Sinus Management; Bascom Flap Versus Pilonidal Pits Excision: A Single-Center Experience

Ashraf Imam; Harbi Khalayleh; Guy Pines; Eli Mavor; Arie Pelta; Deeb Khoury

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자료유형: 학술저널

저자정보: Ashraf Imam (Department of Surgery Kaplan Medical Center Rehovot and The Hebrew University School of Medicine) Harbi Khalayleh (Department of Surgery Kaplan Medical Center Rehovot and The Hebrew University School of Medicine) Guy Pines (Kaplan Medical Center Rehovot Hebrew University School of Medicine) Eli Mavor (Kaplan Medical Center Rehovot; Hebrew University School of Medicine) Arie Pelta (Kaplan Medical Center Rehovot; Hebrew University School of Medicine) Deeb Khoury (Department of Surgery Kaplan Medical Center Rehovot and The Hebrew University School of Medicine)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.37 No.2

발행연도: 2021.1

수록면: 109 - 114 (6page)

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Purpose: This study aimed to evaluate the outcomes of the Bascom cleft lift (flap) and the pilonidal pits excision (Gips procedure). Methods: The records of all the patients who underwent pilonidal sinus excision between November 2013 and August 2017 were reviewed. Inclusion criteria included either pilonidal pits excision or the Bascom cleft lift procedure. All procedures were performed by a single surgeon. Perioperative complications and recurrence rates were reviewed. Results: Fifty-three patients met the inclusion criteria. Male/female ratio was 36/17, with a mean age of 23.4 ± 7 years. In this study, 21 patients underwent the Bascom cleft lift (skin flap) procedure and 32 underwent the Gips-style operation. The mean follow-up was 3.5 months. Twenty-eight patients (52.8%) underwent prior drainage of pilonidal abscess. Eleven patients had a previous wide local excision with recurrent disease. A higher rate of recurrence was observed among patients who underwent pits picking following failure of a previous wide local excision (80% vs. 0%, P = 0.02). Minor wound dehiscence developed in 8 patients; all of which were in the Bascom flap group (40% vs. 0%, P < 0.005). All of these wounds healed completely between 3 and 6 weeks. Conclusion: The Gips procedure is the recommended treatment for simple pilonidal disease. For recurrent pilonidal disease, the Bascom cleft lift (flap) procedure is an excellent option since it demonstrates a short wound healing time and a good success rate. This calls into question the continued use of the wide excision technique used by most surgeons in this country and abroad.

#Pilonidal sinus #Minimally invasive surgical procedures #Abscess #Drainage #Surgical flaps

참고문헌 (30)

참고문헌 신청

Enriquez-Navascues JM / 2014 / Meta-analysis of randomized controlled trials comparing different techniques with primary closure for chronic pilonidal sinus / Tech Coloproctol 18:863~872

Petersen S / 2002 / Primary closure techniques in chronic pilonidal sinus: a survey of the results of different surgical approaches / Dis Colon Rectum 45:1458~1467

Sevinç B / 2016 / Randomized prospective comparison of midline and off-midline closure techniques in pilonidal sinus surgery / Surgery 159:749~754

Arslan K / 2014 / Which flap method should be preferred for the treatment of pilonidal sinus? A prospective randomized study / Tech Coloproctol 18:29~37

Karydakis GE / 1973 / New approach to the problem of pilonidal sinus / Lancet 2:1414~1415

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이 논문의 저자 정보

Ashraf Imam

소속기관 Department of Surgery Kaplan Medical Center Rehovot and The Hebrew University School of Medicine