39. Pilonidal sinus surgery by means of asymmetric cleft lift technique: A case series and literature review
Main Article Content
Abstract
To date, there is no consensus on the optimal surgical method for pilonidal sinus disease (PSD), and up to half of patients struggle with recurrence. The purpose of this retrospective study was to evaluate the results after introducing the Bascom asymmetric cleft lift procedure in our hospital and review the current literature on techniques of pilonidal sinus surgery. We retrospectively described the cases being operated from Jan 2021 to Aug 2023 at the Department of General Surgery, Bach Mai Hospital. We evaluated short-term results within 30 days after surgery by clinical examination and ultrasound. As a result, there were a total of 4 patients, including three males and one female, aged from 16 to 67 years old. All patients had surgery for the first time with 100% type III (Tezel classification). Operation time, hospital stay and drainage of the surgical area was range from 32 to 40 minutes; from 4 to 7 days, from 4 to 15 days. Wound healing times were 15, 22, 17, and 25 days, respectively. One case of bleeding after surgery did not require re-operation. No recurrence has been reported. Conclusion: asymmetric cleft lift procedure is feasible, easy to perform with short surgery time; wound healing time is about 3 weeks. This technique also has complications of deep infection, partial dehiscence, and recurrence. Therefore, re-examination plan is needed to have appropriate treatment methods.
Article Details
Keywords
Pilonidal sinus disease, Sacrococcygeal, Asymmetric, Bascom technique, Limberg technique, Wound healing
References
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