Plastic Reconstructive Options for Chronic Pilonidal Disease

被引:2
作者
Behr, B. [1 ]
Ring, A. [1 ]
Kolbenschlag, J. [1 ]
Damert, H. -G. [2 ]
Lehnhardt, M. [1 ]
Daigeler, A. [1 ]
机构
[1] BG Univ Klinikum Bergmannsheil Bochum, Klin Plast Chirurg & Schwerbrandverletzte, Handchirurg Zentrum, Referenzzentrum Gliedmassentumoren, D-44789 Bochum, Germany
[2] HELIOS Bordeklin, Plast Asthet & Handchirurg, Oschersleben, Germany
来源
ZENTRALBLATT FUR CHIRURGIE | 2015年 / 140卷 / 02期
关键词
tissue transfer; local excision; plastic surgery; pilonidal disease; SINUS DISEASE; FLAP; MANAGEMENT; EXCISION;
D O I
10.1055/s-0035-1545723
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Chronic pilonidal disease represents an infectious disease of the gluteal cleft that often requires surgical resection. Aim: In this article, several plastic-surgical reconstructions are presented. Methods and Results: Based on our experience and the current literature, different plastic surgical reconstructive methods are presented and discussed. Thorough debridement including sinus tracts and follicles represents an important step in the treatment algorithm. Subsequently, wide defects may remain that can require reconstructive surgery with local flaps. These may include a Karydakis procedure, Limberg transposition flap, V-Y advancement or rotation flap. Conclusion: After thorough debridement and adherence to plastic surgical principles, sufficient reconstructions can be obtained with the presented methods.
引用
收藏
页码:201 / 204
页数:4
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