Clinical research of rhomboid flap graft for the pilonidal disease

doi:10.3877/cma.j.issn.2095-3224.2018.02.017

Abstract

Abstract:

Objective

To evaluate the therapeutic effect of rhomboid flap graft for the pilonidal disease.

Methods

The clinical parameters were analyzed in the 11 patients who had undergone rhomboid flap graft for the pilonidal disease from August 2015 to February 2017, which were collected at the 1st Department of Anorectum, Xi′an Coloproctology Hospital.

Results

Operations were successful in all patients. In our research, there were 3 cases of wound dehiscence (27.27%), 1 case of hematoma (9.09%) and no wound infection. The median healing time is 21 days. 1 patient lost to follow-up, the others, follow-up time ranged from 1 to 18 months, without recurrence.

Conclusions

The rhomboid flap graft technique is a viable alternative for surgical management of pilonidal disease.

Key words: Therapy, Rhomboid flap, Pilonidal disease, Surgery

Wenping Chen, Qiaoling Ma, Wanlin Lin, Peiyu Feng, Tao Liu, Ke Si, Kuanrong Mao. Clinical research of rhomboid flap graft for the pilonidal disease[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2018, 07(02): 185-189.

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https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2018/V07/I02/185

Figures/Tables 4

References 18

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序号	术式^*	首次大便（d）	尾侧拔管（d）	头侧拔管（d）	下床时间（d）	间断拆线（d）	全部拆线（d）	术后住院（d）	愈合时间（d）	裂开?	张力性水泡	感染	血肿	复发
1	1	8	6	8	8	12	13	14	14	NO	NO	NO	NO	—
2	3	21	5	15	15	11	18	27	40	1	YES	NO	YES	NO
3	2	13	7	9	13	14	20	21	21	NO	NO	NO	NO	NO
4	2^**	15	9	10	15	—	—	21	21	NO	NO	NO	NO	NO
5	2^**	5	6	8	5	—	—	39	41	2	NO	NO	NO	NO
6	2	5	7	11	5	12	19	20	20	NO	NO	NO	NO	NO
7	2	12	5	8	10	13	15	16	16	NO	NO	NO	NO	NO
8	2	16	4	8	8	11	14	15	15	NO	YES	NO	NO	NO
9	2	14	9	11	8	11	16	17	17	NO	NO	NO	NO	NO
10	2	10	7	12	8	14	17	19	28	1	YES	NO	NO	NO
11	2	12	7	NO	10	10	14	14	14	NO	NO	NO	NO	NO
M	—	12	7	10	8	12	17	19	21	?	?	?	?	?

序号	术式^*	首次大便（d）	尾侧拔管（d）	头侧拔管（d）	下床时间（d）	间断拆线（d）	全部拆线（d）	术后住院（d）	愈合时间（d）	裂开?	张力性水泡	感染	血肿	复发
1	1	8	6	8	8	12	13	14	14	NO	NO	NO	NO	—
2	3	21	5	15	15	11	18	27	40	1	YES	NO	YES	NO
3	2	13	7	9	13	14	20	21	21	NO	NO	NO	NO	NO
4	2^**	15	9	10	15	—	—	21	21	NO	NO	NO	NO	NO
5	2^**	5	6	8	5	—	—	39	41	2	NO	NO	NO	NO
6	2	5	7	11	5	12	19	20	20	NO	NO	NO	NO	NO
7	2	12	5	8	10	13	15	16	16	NO	NO	NO	NO	NO
8	2	16	4	8	8	11	14	15	15	NO	YES	NO	NO	NO
9	2	14	9	11	8	11	16	17	17	NO	NO	NO	NO	NO
10	2	10	7	12	8	14	17	19	28	1	YES	NO	NO	NO
11	2	12	7	NO	10	10	14	14	14	NO	NO	NO	NO	NO
M	—	12	7	10	8	12	17	19	21	?	?	?	?	?

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