A new flap technique in surgical treatment of pilonidal sinus disease bipedicular medial advancement flap

Tolga Önder

Purpose: The aim of our study is to define a new flap technique for surgical treatment of sacrococcygeal pilonidal sinus disease, " bipediculary medial advancement flap" and to report our results.

Materials and methods: The findings of 61 patients who underwent surgery with the cause of pilonidal sinus disease and applied "Excision and bipedicular medial advancement flap" in Sarıkamış state hospital were retrospectively analyzed. Results: Sixty-one patients were included in the study: 10 female (16.4%) and 51 male (83.6%). All of the patients underwent bipedicidal medial advancement as a surgical procedure. The mean duration of operation was 29 ± 6 minutes (19-44 minutes).It was found that 18% of the patients (11 patients) were using cigarettes. In none of the patients, hematoma, suture dissection, seroma and flap necrosis were observed in the early period. The mean follow-up period was 48 ± 28 months (1-76 months).The mean duration of hospital stay was 2.3 ± 1 days (1-6 days) and the mean time to return to normal life activities (14.2 ± 3 days).

Conclusion: Compared with the LF and V-Y flap applications commonly used in the treatment of pilonidal sinus disease, the bipediculated medial advancement flap with low recurrence - complication rates and return to short normal life activities, appear to be a feasible flap method for the surgical treatment of pilonidal sinüs disease.

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DOI: http://dx.doi.org/10.24327/23956429.ijcmpr20170071