Department of Plastic, Reconstruction and Aesthetic Surgery, Cukurova University School of Medicine, Adana, Türkiye.
J Plast Reconstr Aesthet Surg. 2010 Jan;63(1):133-9. doi: 10.1016/j.bjps.2008.07.017. Epub 2008 Nov 14.
Pilonidal sinus is a difficult disease to treat. Many treatment modalities from secondary-intention healing to various types of flaps have been used with each having different rates of success.
A perforator flap based on the superior gluteal artery perforators was designed at 45( degrees )-angle to the defect created by the excision of the pilonidal sinus and was transposed in 15 male patients with un-operated chronic pilonidal sinus. Defect and flap size, length of surgery, blood loss, time to mobilisation, hospital stay, time of return to work and rate of complications were evaluated.
The average defect size in length, width and depth were 6.9 cm, 3 cm and 3 cm, respectively. The cutaneous part of the flaps was exactly the same size as the defect. The average length of surgery was 45 min (sinus excision 10 min, flap harvest 15 min and closure 20 min) with blood loss being less than 25 cm(3). Patients were mobilised and discharged home the morning after surgery (less than 24h). The patients were able to return to normal daily activities after 3 days and to work 10 days after the surgery. There were no complications and no recurrences at an average of a 10-month follow-up.
The superior gluteal artery perforator flap (SGAP) offers many advantages over random (better vascularity and flap safety) or larger flaps (decreased operating time and donor-area morbidity) in the treatment of pilonidal sinus disease. We present our results with the use of the SGAP flap, which is designed at a 45( degrees )-angle to the defect created by the excision of the pilonidal sinus. Compared to the previously described techniques, it has the advantage of closing defects of any size within a short surgical time and minimal blood loss. The hospital stay, time to mobilisation and return to daily activities and work are shortened, in addition to zero complications and recurrence rates.
藏毛窦是一种难以治疗的疾病。从二期愈合到各种类型的皮瓣，已经有许多治疗方法被应用，每种方法的成功率都不同。
根据臀上动脉穿支设计了一种 45 度角的穿支皮瓣，用于转移到 15 名未经手术的慢性藏毛窦男性患者的切除后窦道缺损处。评估了缺损和皮瓣的大小、手术长度、失血量、活动时间、住院时间、恢复工作时间和并发症发生率。
平均缺损长度、宽度和深度分别为 6.9cm、3cm 和 3cm。皮瓣的皮肤部分与缺损完全相同大小。手术平均长度为 45 分钟（窦道切除 10 分钟，皮瓣采集 15 分钟，闭合 20 分钟），失血量少于 25cm³。患者在手术后的第二天早上（不到 24 小时）即可活动和出院。患者在术后 3 天即可恢复正常日常活动，术后 10 天即可恢复工作。在平均 10 个月的随访中，没有并发症和复发。
与随意皮瓣（更好的血供和皮瓣安全性）或更大的皮瓣（手术时间减少和供区发病率降低）相比，臀上动脉穿支皮瓣（SGAP）在治疗藏毛窦疾病方面具有许多优势。我们介绍了使用 SGAP 皮瓣的结果，该皮瓣以切除藏毛窦后形成的缺损的 45 度角设计。与之前描述的技术相比，它具有在短时间内闭合任何大小的缺损且失血量少的优点。此外，它还缩短了住院时间、活动时间、恢复日常活动和工作的时间，并且没有并发症和复发率。
