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复发性藏毛窦疾病的臀沟提升术修复

Revision of the Failed Cleft Lift for Pilonidal Disease.

作者信息

Immerman Steven C

机构信息

Surgery, Evergreen Surgical, Eau Claire, USA.

出版信息

Cureus. 2023 Feb 1;15(2):e34511. doi: 10.7759/cureus.34511. eCollection 2023 Feb.

DOI:10.7759/cureus.34511
PMID:36923186
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10010575/
Abstract

The cleft lift has been demonstrated to be one of the most successful operations for the treatment of pilonidal disease, however, there are times this procedure fails and further surgery is necessary. This article describes a reproducible and successful technique for the revision of a failed cleft lift. This procedure was performed on 76 consecutive patients who had previous cleft lift procedures. Failures were manifested by either a wound, sinus, abscess, dehiscence or fragile scar. The revision flattened the lower gluteal cleft with a rotation and advancement flap that placed the skin incision off-midline. Follow-up over the 10 years of this series was between six and 124 months with an average of 36 months. The revision was initially successful in 96.1% of patients; if the procedure was unsuccessful a repeat revision was subsequently curative. This procedure is proposed as an essential part of the treatment algorithm for patients with recurrent pilonidal disease after a cleft lift operation.

摘要

裂谷提升术已被证明是治疗藏毛窦疾病最成功的手术之一，然而，有时该手术会失败，需要进一步手术。本文描述了一种用于修复失败的裂谷提升术的可重复且成功的技术。该手术对76例先前接受过裂谷提升术的连续患者进行。失败表现为伤口、窦道、脓肿、裂开或脆弱的瘢痕。修复通过旋转推进皮瓣使臀下裂变平，将皮肤切口置于中线以外。本系列10年的随访时间为6至124个月，平均36个月。96.1%的患者修复最初成功；如果手术不成功，随后再次修复可治愈。对于裂谷提升术后复发性藏毛窦疾病患者，该手术被提议作为治疗方案的重要组成部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede6/10010575/fe72b718a143/cureus-0015-00000034511-i16.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede6/10010575/5c1aae75aa11/cureus-0015-00000034511-i11.jpg
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本文引用的文献

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Assessment of Surgical Strategies for Pilonidal Sinus Disease in the Netherlands.荷兰藏毛窦疾病手术策略的评估
Cureus. 2022 May 16;14(5):e25050. doi: 10.7759/cureus.25050. eCollection 2022 May.
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The Bascom Cleft Lift as a Solution for All Presentations of Pilonidal Disease.巴斯科姆裂层提升术作为藏毛疾病所有表现形式的一种解决方案。
Cureus. 2021 Feb 1;13(2):e13053. doi: 10.7759/cureus.13053.
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