S-plasty for pilonidal disease: modified primary closure reducing tension.
10.4174/jkss.2012.82.2.63
- Author:
Jae Keun KIM
1
;
Jin Cheol JEONG
;
Joung Bum LEE
;
Kuk Hyun JUNG
;
Byong Ku BAE
Author Information
1. Department of Surgery, Armed Forces Capital Hospital, Seongnam, Korea. worms99@hanmail.net
- Publication Type:Original Article
- Keywords:
Pilonidal sinus;
Wound closure techniques;
Surgical wound infections;
Wound healing;
Surgical flaps
- MeSH:
Centers for Disease Control and Prevention (U.S.);
Follow-Up Studies;
Humans;
Incidence;
Interviews as Topic;
Perioperative Period;
Pilonidal Sinus;
Recurrence;
Surgical Flaps;
Surgical Wound Infection;
Wound Closure Techniques;
Wound Healing
- From:Journal of the Korean Surgical Society
2012;82(2):63-69
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: S-plasty for pilonidal disease reduces the tension on the midline by distributing it diagonally and flattening the natal cleft. The aim of this study was to evaluate the outcomes of S-plasty on simple midline primary closure and the clinical features of pilonidal patients in a low incidence country. METHODS: S-plasty was applied on 17 patients from July 2008 to October 2010. Data of these patients were collected with computerized prospective database forms during a perioperative period and via telephone interview for follow-up. Surgical site infection (SSI) was defined according to the Center for Disease Control guidelines. The severity of surgical site infection was graded. RESULTS: All patients were treated with primary S-plasty. Two patients (11.7%) developed low grade SSI. The average healing time after S-plasty was 18.1 days. No recurrences were observed. The mean follow-up period was 13.5 months (range, 6 to 33 months). CONCLUSION: We have shown that primary S-plasty for pilonidal disease is simple, and its surgical outcomes are compatible to the results of other surgical treatments. We present primary S-plasty as a feasible treatment option in a low incidence country.
