Surgical treatment of pilonidal disease
10.3760/cma.j.issn.1007-631X.2020.01.013
- VernacularTitle:藏毛窦外科治疗的疗效分析
- Author:
Bao YUAN
1
,
2
;
Jing YANG
;
Hong GU
;
Jiong MA
;
Jianhui MIAO
;
Wanjin SHAO
;
Yunfei GU
;
Chaoqun MA
Author Information
1. 南京中医药大学江阴附属医院肛肠科 214400
2. 南京中医药大学第一附属医院肛肠科210000
- Keywords:
Pilonidal disease;
Surgical procedures,operative
- From:
Chinese Journal of General Surgery
2020;35(1):46-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the surgical treatment of the pilonidal disease.Methods The clinical data of 33 cases of the pilonidal disease were retrospectively analyzed from Jul 2007 to Feb 2014.18 cases were treated with Excision and Marsupialization,and 15 cases were treated with Rhomboid excision and Limberg flap.Results All 18 cases in the excision and marsupialization group,were cured by surgery.all 15 cases in the rhomboid excision and Limberg flap group were cured,five of these cases were delayed healing dehiscence or necrosis,all this cases were healed after dressing drainage.The average healing time of the Limberg flap group was shorter than that of the Marsupialization group[(19 ±7) d vs.(37 ± 12) d,t =6.556,P ＜ 0.01].Postoperative recurrence of the Marsupialization group was 1 case,the recurrence rate was 5.6％,and there was no recurrence after Limberg flap transfer.The recurrence rate of the 2 groups was statistically insignificant (P ＞ 0.05).Conclusion The excision and marsupialization and the rhomboid excision and Limberg flap are effective in the treatment of the pilonidal disease,and the Limberg flap transfer is recommended in complicated and recurrence cases.
