Kim Jae Keun, Jeong Jin Cheol, Lee Joung Bum, Jung Kuk Hyun, Bae Byong Ku
Department of Surgery, Armed Forces Capital Hospital, Seongnam, Korea.
J Korean Surg Soc. 2012 Feb;82(2):63-9. doi: 10.4174/jkss.2012.82.2.63. Epub 2012 Jan 27.
S-plasty for pilonidal disease reduces the tension on the midline by distributing it diagonally and flattening the natal cleft. The aim of this study was to evaluate the outcomes of S-plasty on simple midline primary closure and the clinical features of pilonidal patients in a low incidence country.
S-plasty was applied on 17 patients from July 2008 to October 2010. Data of these patients were collected with computerized prospective database forms during a perioperative period and via telephone interview for follow-up. Surgical site infection (SSI) was defined according to the Center for Disease Control guidelines. The severity of surgical site infection was graded.
All patients were treated with primary S-plasty. Two patients (11.7%) developed low grade SSI. The average healing time after S-plasty was 18.1 days. No recurrences were observed. The mean follow-up period was 13.5 months (range, 6 to 33 months).
We have shown that primary S-plasty for pilonidal disease is simple, and its surgical outcomes are compatible to the results of other surgical treatments. We present primary S-plasty as a feasible treatment option in a low incidence country.
藏毛疾病的S形皮瓣成形术通过对角分布张力并使臀沟变平来减轻中线的张力。本研究的目的是评估S形皮瓣成形术对单纯中线一期缝合的效果以及在一个低发病率国家中藏毛疾病患者的临床特征。
2008年7月至2010年10月期间，对17例患者实施了S形皮瓣成形术。在围手术期，通过计算机化的前瞻性数据库表格收集这些患者的数据，并通过电话随访进行后续数据收集。手术部位感染（SSI）根据疾病控制中心的指南进行定义。对手术部位感染的严重程度进行分级。
所有患者均接受了一期S形皮瓣成形术治疗。2例患者（11.7%）发生了轻度SSI。S形皮瓣成形术后的平均愈合时间为18.1天。未观察到复发情况。平均随访期为13.5个月（范围为6至33个月）。
我们已经表明，藏毛疾病的一期S形皮瓣成形术操作简单，其手术效果与其他手术治疗的结果相当。我们提出在一个低发病率国家中，一期S形皮瓣成形术是一种可行的治疗选择。
