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The Egyptian Journal of Plastic and Reconstructive Surgery
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Ahmad, M. (2020). Combined Horizontal Split Gluteus Maximus Muscle Flap and Fasciocutaneous Limberg Flap for Reconstruction of Recurrent Sacrococcygeal Pilonidal Sinus. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), 361-367. doi: 10.21608/ejprs.2020.113499
Mahfouz I. Ahmad. "Combined Horizontal Split Gluteus Maximus Muscle Flap and Fasciocutaneous Limberg Flap for Reconstruction of Recurrent Sacrococcygeal Pilonidal Sinus". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 2, 2020, 361-367. doi: 10.21608/ejprs.2020.113499
Ahmad, M. (2020). 'Combined Horizontal Split Gluteus Maximus Muscle Flap and Fasciocutaneous Limberg Flap for Reconstruction of Recurrent Sacrococcygeal Pilonidal Sinus', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), pp. 361-367. doi: 10.21608/ejprs.2020.113499
Ahmad, M. Combined Horizontal Split Gluteus Maximus Muscle Flap and Fasciocutaneous Limberg Flap for Reconstruction of Recurrent Sacrococcygeal Pilonidal Sinus. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(2): 361-367. doi: 10.21608/ejprs.2020.113499

Combined Horizontal Split Gluteus Maximus Muscle Flap and Fasciocutaneous Limberg Flap for Reconstruction of Recurrent Sacrococcygeal Pilonidal Sinus

Article 16, Volume 44, Issue 2, April 2020, Page 361-367  XML PDF (10.98 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2020.113499
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Author
Mahfouz I. Ahmad*
The Department of Plastic Surgery, Faculty of Medicine, Zagazig University, Egypt
Abstract
disease. The exact etiology of the disease is still unknown
but the most accepted theory is an acquired condition characterized
by infected sinus in the natal cleft area contains lifeless
hair tuft. Multiple techniques were prescribed for its treatment
however the ideal method still not yet defined.
Patients and Methods: Fifty eight male patients who
underwent excision of their recurrent pilonidal sinus disease
and the resulting defects were reconstructed using combined
horizontal split gluteus maximus flaps and rhomboid flaps.
Outcomes were revised from patient's files case and followed
up in outpatient clinic and via questionnaires.
Results: The mean hospital stay was three days. The mean
time to return to work was 16 days. Partial wound dehiscence's
occurred in two patients. Distal end flap necrosis occurred in
one patient. There were no flap losses, no recurrences, no
infections, no loss of function and no seromas during a mean
follow-up period of 24 months. All patients were satisfied
with the results.
Conclusion: In comparison with other techniques, it has
a comparable operative time and hospital stays. It has minimal
and acceptable complication rates and no recurrences. We can
conclude that this procedure of combined split gluteus maximus
muscle flap and rhomboid flap provides an excellent, effective,
easy and feasible method of choice for reconstructing defects
of recurrent pilonidal sinus disease.
Keywords
Pilonidal sinus disease; Recurrent; Split gluteus maximus flap; Rhomboid flap
Main Subjects
Congenital anomalies; Flaps
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