Ishii Naohiro, Shimizu Yusuke, Oji Tomito, Kishi Kazuo
a Department of Plastic and Reconstructive Surgery , Tochigi Cancer Center , Tochigi , Japan.
b Department of Plastic and Reconstructive Surgery , University of the Ryukyus Hospital , Okinawa , Japan.
J Plast Surg Hand Surg. 2017 Dec;51(6):453-457. doi: 10.1080/2000656X.2017.1310735. Epub 2017 Apr 18.
In order to prevent postoperative infection and recurrence of sacrococcygeal pilonidal sinus, the authors developed a modified Dufourmentel flap, involving the superior pedicles, and designed a descriptive prospective study to evaluate its efficiency.
Between July 2007 and March 2014, 16 patients with sacrococcygeal pilonidal sinus were treated with an irregular quadrilateral excision and reconstruction by a modified Dufourmentel flap with superior pedicle. The duration of wound healing, presence of wound complications and permanent hypoesthesia, and recurrence rates were recorded and assessed.
None of the patients developed flap necrosis or wound infection postoperatively. The duration of wound healing was 7.2 ± 2.9 (range = 6-15) days. Wound dehiscence was demonstrated in only one patient (6.3%). The mean follow-up period was 4 years and 2 months (range = 4 months-8 years and 8 months), whereby no permanent hypoesthesia or recurrence was detected.
The modified Dufourmentel flap with superior pedicle can be safely used as a treatment of sacrococcygeal pilonidal sinus, with excellent results.
为预防骶尾部藏毛窦术后感染及复发，作者研发了一种带上方蒂的改良杜福尔芒特尔皮瓣，并设计了一项描述性前瞻性研究以评估其疗效。
2007年7月至2014年3月期间，16例骶尾部藏毛窦患者接受了不规则四边形切除，并采用带上方蒂的改良杜福尔芒特尔皮瓣进行重建。记录并评估伤口愈合时间、伤口并发症及永久性感觉减退的发生情况以及复发率。
所有患者术后均未发生皮瓣坏死或伤口感染。伤口愈合时间为7.2±2.9（范围=6 - 15）天。仅1例患者（6.3%）出现伤口裂开。平均随访时间为4年2个月（范围=4个月 - 8年8个月），未发现永久性感觉减退或复发情况。
带上方蒂的改良杜福尔芒特尔皮瓣可安全用于治疗骶尾部藏毛窦，效果良好。
