Yabanoglu H, Karagulle E, Belli S, Turk E
Acta Chir Belg. 2014 Jan-Feb;114(1):52-7.
The aim of our study was to assess our modified Dufourmentel flap outcomes in a standardized patient group (a symptom duration of equal to or greater than 60 months, presence of equal to or more than 3 sinus ostia or presence of sinus ostia fistulized equal to or greater than 2 cm laterally, and a normal body mass index) with extensive pilonidal sinus.
Patients who were diagnosed with chronic pilonidal sinus disease and gave consent to surgical repair with modified Dufourmentel flap were enrolled. Patients were assessed with respect to age, sex, body mass index, presenting symptom, symptom duration, number of previous operations, number of sinus ostia, length of flap rims, depth of intergluteal sulcus, distance of sinus from anus, duration of operation, time of drain removal, length of hospital stay, early postoperative complications, postoperative pain, loss of labor, length of follow-up, and recurrences.
A total of 42 patients were enrolled. Average duration of presenting symptoms was 64.4 +/- 4.7 months and average length of follow-up was 29.4 +/- 3.6 months. Average length of hospital stay was 4.2 +/- 0.8 days, and time to return to work was 16.3 +/- 2.1 days. Two patients (4.7%) developed postoperative wound infection, one patient (2.4%) developed seroma, and three patients (7.1%) had wound dehiscence. There was no recurrence.
Modified Dufourmentel flap application can be safely used in the treatment of extensive pilonidal sinus disease.
我们研究的目的是评估改良杜福尔芒泰尔皮瓣在一组标准化患者（症状持续时间等于或大于60个月、存在等于或多于3个鼻窦开口或鼻窦开口外侧瘘管化长度等于或大于2厘米且体重指数正常）中的治疗效果，这些患者患有广泛的藏毛窦。
纳入被诊断为慢性藏毛窦疾病并同意采用改良杜福尔芒泰尔皮瓣进行手术修复的患者。对患者进行了年龄、性别、体重指数、现患症状、症状持续时间、既往手术次数、鼻窦开口数量、皮瓣边缘长度、臀间沟深度、窦与肛门的距离、手术持续时间、引流管拔除时间、住院时间、术后早期并发症、术后疼痛、劳动能力丧失、随访时间和复发情况等方面的评估。
共纳入42例患者。现患症状的平均持续时间为64.4±4.7个月，平均随访时间为29.4±3.6个月。平均住院时间为4.2±0.8天，恢复工作时间为16.3±2.1天。2例患者（4.7%）发生术后伤口感染，1例患者（2.4%）发生血清肿，3例患者（7.1%）发生伤口裂开。无复发情况。
改良杜福尔芒泰尔皮瓣应用可安全用于治疗广泛的藏毛窦疾病。
