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OUTCOME OF RHOMBOID FLAP AND Z-PLASTY IN PILONIDAL SINUS SURGERY
OUTCOME OF RHOMBOID FLAP AND Z-PLASTY IN PILONIDAL SINUS SURGERY
AbdulWahid M. Salih *, Hawar Hasan Ali Ghalib **, Diary A. Ismael *, Mohammed I M Gubari ***, Karzan Mohammed Salih Hassan and Masrur Sleman Aziz
* Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.
** Surgical Unit, Shar Hospital, Sulaimani, Iraq.
*** Department of Community Health, Sulaimani Polytechnic University Kurdistan Region, Iraq.
Submitted: 13/4/2015; Accepted: 7/6/2015; Published 1/12/2015
DOI Link: https://doi.org/10.17656/jsmc.10078
ABSTRACT
Background
There are controversies about the etiology and management of pilonidal sinus. The numbers of techniques are testament in treating pilonidal sinus (PNS) and no single procedure is superior in all aspects.
Objectives
The Purpose of this study was to evaluate two operative procedures regarding its complications including recurrences of the disease.
Methods
The medical records of 40 patients in whom the Rhomboid Flap and Z-Plasty techniques were applied for reconstruction after the excision were evaluated retrospectively.
Results
The incidence rates of postoperative hematoma 1 (2.5%), wound infection 3 (7.5%), seroma 1 (2.5%), sinus formation 1 (2.5%) and neurological symptoms 17 (42.5%)
activities were achieved after a mean of 21.20 days. During the average follow-up of 24 months, three patients (7.5%) developed recurrent disease.
Conclusion
Rhomboid flap and Z-plasty technique are flattening of the natal cleft, thus reducing local recurrence rates. Hence, we recommend use of flap technique for pilonidal sinus patients; Z-plasty is cosmetically more accepted as it has less postoperative complication.
KEYWORDS
Rhomboid flap , Z-plasty, Pilonidal sinus.
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