General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura City, Dakahlia providence, Egypt.
Int J Surg. 2016 May;29:1-8. doi: 10.1016/j.ijsu.2016.03.006. Epub 2016 Mar 11.
There is controversy about the best surgical approach for recurrent pilonidal disease (PND) up till now. This study aims to evaluate the efficacy of bilateral gluteal fascio-myo-cutaneous advancement flap (BGFMCF) in treatment of recurrent PND.
Forty patients (35 males, 5 females) with recurrent PND were admitted and treated with BGFMCF. Variables assessed were incidence of recurrence, postoperative complications, patients' satisfaction and quality of life.
Patients had a mean age of 25 ± 6.8 years and a mean body mass index of 28.4 ± 2.7. Mean operative time was 87 ± 13 min and mean length of hospital stay was 3 ± 0.7 days. Mean period of follow-up was 15.8 ± 4.9 months. Recurrence was detected in 2 (5%) patients and minor complications occurred in 6 (15%) patients. Thirty eight (95%) patients were satisfied by the procedure at the end of follow-up period.
BGFMCF is an effective procedure for treatment of recurrent sacrococcygeal PND with low recurrence rate and acceptable morbidity.
目前对于复发性藏毛窦疾病（PND）的最佳手术方法仍存在争议。本研究旨在评估双侧臀筋膜肌皮瓣推进术（BGFMCF）治疗复发性 PND 的疗效。
40 例复发性 PND 患者（35 例男性，5 例女性）采用 BGFMCF 治疗。评估的变量包括复发率、术后并发症、患者满意度和生活质量。
患者的平均年龄为 25 ± 6.8 岁，平均体重指数为 28.4 ± 2.7。平均手术时间为 87 ± 13 分钟，平均住院时间为 3 ± 0.7 天。平均随访时间为 15.8 ± 4.9 个月。2 例（5%）患者复发，6 例（15%）患者出现轻微并发症。38 例（95%）患者在随访结束时对手术满意。
BGFMCF 是治疗复发性骶尾部 PND 的有效方法，复发率低，并发症发生率可接受。
