用于藏毛窦的椭圆形旋转皮瓣。
Elliptical rotation flap for pilonidal sinus.
作者信息
Neşşar Gürel, Kayaalp Cüneyt, Seven Canbek
机构信息
Department of Gastrointestinal Surgery, Türkiye Yüksek Yhtisas Hospital, Sýhhiye, Ankara, Turkey.
出版信息
Am J Surg. 2004 Feb;187(2):300-3. doi: 10.1016/j.amjsurg.2003.11.012.
BACKGROUND
The treatment of the symptomatic pilonidal sinus is surgical with one of the most extensive being excision of the diseased tissue down to the sacral fascia. The closure of the defect is the matter of debate. An elliptical rotation flap has been used for pilonidal sinus treatment with no recurrence rate.
METHODS
From April 1996 to June 2001, 20 patients were treated with this technique. The surgical procedure is a vertical elliptical excision of the diseased tissue and an elliptical cutaneous rotation flap to close the defect.
RESULTS
Twenty patients underwent with this technique, mean age 23.4 years (range 18 to 34). Mean follow-up was 42 months. All patients were discharged on the first postoperative day. Primary healing was achieved in all of the patients in 2 weeks. No recurrence was observed.
CONCLUSIONS
Elliptical rotation flap is recommended for patients selected for defect closure. It offers improved patient comfort, shorter hospital stay, and no recurrence rate.
背景
有症状的藏毛窦的治疗方法是手术治疗，其中最广泛的一种是将病变组织切除至骶筋膜。缺损的闭合是一个有争议的问题。椭圆形旋转皮瓣已用于藏毛窦治疗，且无复发率。
方法
1996年4月至2001年6月，20例患者采用该技术治疗。手术过程为垂直椭圆形切除病变组织，并采用椭圆形皮肤旋转皮瓣闭合缺损。
结果
20例患者采用该技术治疗，平均年龄23.4岁（范围18至34岁）。平均随访42个月。所有患者均在术后第一天出院。所有患者均在2周内实现一期愈合。未观察到复发。
结论
对于选择闭合缺损的患者，推荐使用椭圆形旋转皮瓣。它能提高患者舒适度，缩短住院时间且无复发率。
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