Mistry Abbas, Shaikh Parvez, Mohammed Aizaz, Bagasrawala Samir, Chauhan Ankit, Anthony George
Department of Plastic and Reconstructive Surgery, Saifee Hospital, Mumbai, Maharashtra, India.
Department of General Surgery, Saifee Hospital, Mumbai, Maharashtra, India.
Indian J Plast Surg. 2021 Apr;54(2):163-167. doi: 10.1055/s-0041-1729506. Epub 2021 Jul 5.
Surgical treatment of sacrococcygeal pilonidal sinus disease (SPSD) consists of radical excision of the entire tract and treatment of the resultant raw area. Here, the authors have reviewed the results of the rotation flap for closure of the SPSD. This study aims to evaluate the outcomes following SPSD excision and rotation flap closure. All patients were treated for SPSD with excision and closure using a rotation flap from January 2010 to September 2018. Cases having a follow-up of at least 6 months post surgery were evaluated. A total of 52 patients were included in the study; 42 cases were of primary disease while 10 were of recurrent disease. The patients' follow-up records on the 3rd day, 10th day, 1 month, and 6 months were evaluated. None of the patients showed any signs of recurrence on follow-ups. One patient developed a hematoma on the third day post surgery which was treated conservatively. One patient developed a seroma in the perianal region on the fifth postoperative day which required aspiration. Both these patients healed well subsequently. Rotation flap is a (simple and reliable) treatment option for closure of postexcision SPSD defect. It not only takes the tension away from suture line, but also pushes the gluteal fat from the sides into the midline, obliterating the deep crevice of the natal cleft which is believed to be one of the important factors in the causation of SPSD, thus minimizing recurrence.
骶尾部藏毛窦疾病（SPSD）的手术治疗包括彻底切除整个窦道以及处理术后形成的创面。在此，作者回顾了采用旋转皮瓣闭合SPSD创面的治疗结果。 本研究旨在评估SPSD切除及旋转皮瓣闭合术后的疗效。 2010年1月至2018年9月期间，所有患者均采用旋转皮瓣切除并闭合的方法治疗SPSD。对术后随访至少6个月的病例进行评估。 本研究共纳入52例患者；其中42例为原发性疾病，10例为复发性疾病。评估患者术后第3天、第10天、1个月和6个月的随访记录。所有患者随访期间均未出现复发迹象。1例患者术后第3天出现血肿，经保守治疗。1例患者术后第5天在肛周区域出现血清肿，需要抽吸。这两名患者随后均愈合良好。 旋转皮瓣是闭合SPSD切除术后缺损的一种（简单可靠）治疗选择。它不仅减轻了缝合线的张力，还将臀侧脂肪推向中线，消除了臀裂深部缝隙，而臀裂深部缝隙被认为是SPSD发病的重要因素之一，从而使复发率降至最低。
