Modified Dufourmentel flap with superior pedicle: a useful technique for sacrococcygeal pilonidal sinus

Naohiro Ishii, Yusuke Shimizu, Tomito Oji, Kazuo Kishi

Research output: Contribution to journalArticle

Abstract

Purpose: In order to prevent postoperative infection and recurrence of sacrococcygeal pilonidal sinus, the authors developed a modified Dufourmentel flap, involving the superior pedicles, and designed a descriptive prospective study to evaluate its efficiency. Methods: Between July 2007 and March 2014, 16 patients with sacrococcygeal pilonidal sinus were treated with an irregular quadrilateral excision and reconstruction by a modified Dufourmentel flap with superior pedicle. The duration of wound healing, presence of wound complications and permanent hypoesthesia, and recurrence rates were recorded and assessed. Results: None of the patients developed flap necrosis or wound infection postoperatively. The duration of wound healing was 7.2 ± 2.9 (range = 6–15) days. Wound dehiscence was demonstrated in only one patient (6.3%). The mean follow-up period was 4 years and 2 months (range = 4 months–8 years and 8 months), whereby no permanent hypoesthesia or recurrence was detected. Conclusion: The modified Dufourmentel flap with superior pedicle can be safely used as a treatment of sacrococcygeal pilonidal sinus, with excellent results.

Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalJournal of Plastic Surgery and Hand Surgery
DOIs
Publication statusAccepted/In press - 2017 Apr 10

Fingerprint

Pilonidal Sinus
Hypesthesia
Recurrence
Wound Healing
Wounds and Injuries
Wound Infection
Necrosis
Prospective Studies
Infection
Therapeutics

Keywords

  • Dufourmentel technique
  • recurrence
  • rhomboid flap
  • Sacrococcygeal pilonidal disease

ASJC Scopus subject areas

  • Surgery

Cite this

Modified Dufourmentel flap with superior pedicle : a useful technique for sacrococcygeal pilonidal sinus. / Ishii, Naohiro; Shimizu, Yusuke; Oji, Tomito; Kishi, Kazuo.

In: Journal of Plastic Surgery and Hand Surgery, 10.04.2017, p. 1-5.

Research output: Contribution to journalArticle

@article{ddf73ffc1cc349c9997a148d76cbfd63,
title = "Modified Dufourmentel flap with superior pedicle: a useful technique for sacrococcygeal pilonidal sinus",
abstract = "Purpose: In order to prevent postoperative infection and recurrence of sacrococcygeal pilonidal sinus, the authors developed a modified Dufourmentel flap, involving the superior pedicles, and designed a descriptive prospective study to evaluate its efficiency. Methods: Between July 2007 and March 2014, 16 patients with sacrococcygeal pilonidal sinus were treated with an irregular quadrilateral excision and reconstruction by a modified Dufourmentel flap with superior pedicle. The duration of wound healing, presence of wound complications and permanent hypoesthesia, and recurrence rates were recorded and assessed. Results: None of the patients developed flap necrosis or wound infection postoperatively. The duration of wound healing was 7.2 ± 2.9 (range = 6–15) days. Wound dehiscence was demonstrated in only one patient (6.3{\%}). The mean follow-up period was 4 years and 2 months (range = 4 months–8 years and 8 months), whereby no permanent hypoesthesia or recurrence was detected. Conclusion: The modified Dufourmentel flap with superior pedicle can be safely used as a treatment of sacrococcygeal pilonidal sinus, with excellent results.",
keywords = "Dufourmentel technique, recurrence, rhomboid flap, Sacrococcygeal pilonidal disease",
author = "Naohiro Ishii and Yusuke Shimizu and Tomito Oji and Kazuo Kishi",
year = "2017",
month = "4",
day = "10",
doi = "10.1080/2000656X.2017.1310735",
language = "English",
pages = "1--5",
journal = "Journal of Plastic Surgery and Hand Surgery",
issn = "2000-656X",
publisher = "Informa Healthcare",

}

TY - JOUR

T1 - Modified Dufourmentel flap with superior pedicle

T2 - a useful technique for sacrococcygeal pilonidal sinus

AU - Ishii, Naohiro

AU - Shimizu, Yusuke

AU - Oji, Tomito

AU - Kishi, Kazuo

PY - 2017/4/10

Y1 - 2017/4/10

N2 - Purpose: In order to prevent postoperative infection and recurrence of sacrococcygeal pilonidal sinus, the authors developed a modified Dufourmentel flap, involving the superior pedicles, and designed a descriptive prospective study to evaluate its efficiency. Methods: Between July 2007 and March 2014, 16 patients with sacrococcygeal pilonidal sinus were treated with an irregular quadrilateral excision and reconstruction by a modified Dufourmentel flap with superior pedicle. The duration of wound healing, presence of wound complications and permanent hypoesthesia, and recurrence rates were recorded and assessed. Results: None of the patients developed flap necrosis or wound infection postoperatively. The duration of wound healing was 7.2 ± 2.9 (range = 6–15) days. Wound dehiscence was demonstrated in only one patient (6.3%). The mean follow-up period was 4 years and 2 months (range = 4 months–8 years and 8 months), whereby no permanent hypoesthesia or recurrence was detected. Conclusion: The modified Dufourmentel flap with superior pedicle can be safely used as a treatment of sacrococcygeal pilonidal sinus, with excellent results.

AB - Purpose: In order to prevent postoperative infection and recurrence of sacrococcygeal pilonidal sinus, the authors developed a modified Dufourmentel flap, involving the superior pedicles, and designed a descriptive prospective study to evaluate its efficiency. Methods: Between July 2007 and March 2014, 16 patients with sacrococcygeal pilonidal sinus were treated with an irregular quadrilateral excision and reconstruction by a modified Dufourmentel flap with superior pedicle. The duration of wound healing, presence of wound complications and permanent hypoesthesia, and recurrence rates were recorded and assessed. Results: None of the patients developed flap necrosis or wound infection postoperatively. The duration of wound healing was 7.2 ± 2.9 (range = 6–15) days. Wound dehiscence was demonstrated in only one patient (6.3%). The mean follow-up period was 4 years and 2 months (range = 4 months–8 years and 8 months), whereby no permanent hypoesthesia or recurrence was detected. Conclusion: The modified Dufourmentel flap with superior pedicle can be safely used as a treatment of sacrococcygeal pilonidal sinus, with excellent results.

KW - Dufourmentel technique

KW - recurrence

KW - rhomboid flap

KW - Sacrococcygeal pilonidal disease

UR - http://www.scopus.com/inward/record.url?scp=85017586618&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85017586618&partnerID=8YFLogxK

U2 - 10.1080/2000656X.2017.1310735

DO - 10.1080/2000656X.2017.1310735

M3 - Article

C2 - 28417653

AN - SCOPUS:85017586618

SP - 1

EP - 5

JO - Journal of Plastic Surgery and Hand Surgery

JF - Journal of Plastic Surgery and Hand Surgery

SN - 2000-656X

ER -