Open AccessRole of simple V‐Y advancement flap in the treatment of complicated pilonidal sinus
Author(s) -
Dýlek Osman Nuri,
Bekereciodlu Mehmet
Publication year - 1998
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/110241598750005147
Subject(s) - medicine , surgery , seroma , sinus (botany) , z plasty , spinal anesthesia , prospective cohort study , wound infection , anesthesia , complication , botany , biology , genus
Objective: To evaluate our short term results of simple V‐Y advancement flap for complicated pilonidal sinus. Design: Prospective study. Setting: Yüzüncü Yýl University hospital, Van, Turkey. Subjects: 23 patients aged 19–47 (mean 31) years with complicated pilonidal sinus treated between October 1994 and December 1996, of whom 9 had had previous operations for pilonidal sinus. Interventions: Bilateral V‐Y‐plasty to close the defect after wide excision ( n = 7), and unilateral V‐Y‐plasty ( n = 16) were performed under spinal anaesthesia. Results: There were no complications during the operation. There were 4 minor complications (17%) consisted of seroma ( n = 2) and severe wound pain, and wound infection ( n = 1 each). All patients were discharged within 10 days of operation and returned to work within 3 weeks. The mean follow up was 18 months (range 10–25) and no recurrences have occurred so far. Conclusions: Simple V‐Y advancement flap may prove to be useful in patients with recurrent and complicated pilonidal sinuses. Copyright © 1998 Taylor and Francis Ltd.