Clinical application of parasacral artery perforator flap in the treatment of Pilonidal Sinus Diseases
10.3760/cma.j.cn441530-20231017-00137
- VernacularTitle:骶旁动脉穿支皮瓣治疗藏毛疾病的临床应用
- Author:
Junhong LAN
1
;
Zhaohong CHEN
;
Yueying FAN
;
Lu HAN
;
Tao WANG
;
Chiyu JIA
;
Weiling HE
Author Information
1. 厦门大学附属翔安医院整形美容与创面修复科，厦门 361000
- Keywords:
Pilonidal sinus diseases;
Pilonidal sinus;
Pilonidal cysts;
Parasacral perforator flap
- From:
Chinese Journal of Gastrointestinal Surgery
2024;27(9):970-973
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate clinical efficacy of parasacral perforator flap (PPF) on postoperative wound healing in pilonidal sinus diseases (PSDs).Methods:The surgery steps were as follows: (1) To preoperatively detect parasacral perforator arteries with the handhold Doppler probe and mark them; (2) To remove the infected and necrotic tissues of PSDs completely; (3) To design the PPF according to the wound size and the parasacral perforator arteries' localization; (4) To harvest the flap from the gluteus maximus muscle surface and transfer it to the wound without tension. Several data were documented, including surgical duration, flap length, flap width, drainage tube placement duration, hospital stay, duration from operation to stitch removal, postsurgical complications and recurrence.Results:There were six patients with PSDs whose postoperative wound healing was repaired by PPF, admitted in our department from March 2021 to March 2023. Of them, five were male and one was female. Their median age was 24 (range: 18-33) years old. Their median surgical duration was 165 (range: 134-207) minutes, median length of PPF was 8 (range: 7-11) cm, median width of PPF was 3 (range: 3-4) cm, mean duration of drainage tube placement was 8 (range: 4-17) days, mean hospital stay was 13 (range: 6-23) days, mean duration from operation to stitch removal was 14 (range: 14-17) days, median follow-up time was 6-16 months. Incisions of all six cases achieved first-intention healing without early- or late-stage complications. No recurrence occurred during follow-up. All patients involved were satisfied with their clinical efficacy.Conclusion:The utility of PPF in postoperative wound healing of PPDs was effective, safe and reliable.
