Khatri V P, Espinosa M H, Amin A K
Department of General Surgery, Easton Hospital, Pennsylvania 18042.
Dis Colon Rectum. 1994 Dec;37(12):1232-5. doi: 10.1007/BF02257787.
Several methods of managing the sacrococcygeal pilonidal sinus have been described, and fervent arguments for each form of therapy can be found in the literature. Recurrence unfortunately plagues all forms of therapy, though it is evident that the lowest rates have been reported for procedures involving local flap reconstruction. We conducted this case review to evaluate the validity of a simple reconstructive procedure for recurrent pilonidal disease.
We describe the application of the V-Y fasciocutaneous advancement flap to reconstruct the defect following radical excision of recurrent pilonidal sinus in five consecutive patients.
Tension-free closure offers the benefits of a reduction in postoperative pain, less restriction in activity, and a shorter hospital stay.
Preliminary results offer evidence of the efficacy of the simple reconstructive procedure in the management of difficult cases.
已经描述了几种处理骶尾部藏毛窦的方法，并且在文献中可以找到针对每种治疗方式的激烈争论。不幸的是，复发困扰着所有治疗方式，尽管显然涉及局部皮瓣重建的手术报告的复发率最低。我们进行了此病例回顾，以评估一种简单的复发性藏毛疾病重建手术的有效性。
我们描述了V-Y筋膜皮瓣推进术在连续5例复发性藏毛窦根治性切除术后重建缺损中的应用。
无张力缝合具有减轻术后疼痛、减少活动限制和缩短住院时间的优点。
初步结果证明了这种简单的重建手术在处理疑难病例中的有效性。
