Tratamiento quirúrgico del sinus pilonidal con colgajos del área glútea
- García-Bernal, Francisco-Javier 12
- Collia-Martín, Francisco 23
- Sanz-Medrano, Santiago 4
- Hierro-Olabarria-Salgado, Lorena 5
- 1 Mutualia. Unidad de Mano, Muñeca y Microcirugía. Bilbao, España.
- 2 Instituto Regalado y Bernal de Cirugía Plástica y de la Mano. Bilbao, España.
- 3 Servicio Vasco de Salud-Osakidetza. Organización Sanitaria Integrada Bilbao – Basurto. Hospital Universitario Basurto. Servicio de Cirugía Plástica. Bilbao, España.
- 4 Servicio Madrileño de Salud. Hospital Universitario Clínico San Carlos. Servicio de Cirugía Plástica. Madrid, España.
- 5 Servicio Vasco de Salud-Osakidetza. Organización Sanitaria Integrada Bilbao – Basurto. Hospital Universitario Basurto. Servicio de Cirugía General. Bilbao, España.
ISSN: 0304-4858, 2173-2302
Año de publicación: 2023
Volumen: 120
Número: 3
Páginas: 113-118
Tipo: Artículo
Otras publicaciones en: Gaceta médica de Bilbao: Revista oficial de la Academia de Ciencias Médicas de Bilbao. Información para profesionales sanitarios
Resumen
Introduction: The pilonidal sinus disease is a chronic suppurative condition related to the growth of the hair follicle, typically located in the sacral area. Although it is usually a local condition simple to manage, it can become infected and this situation can lead us to indicate an aggressive surgical debridement.Methods: The authors show their experience in the management of the defect created after resection of the pilonidal sinus, through the use of flaps of the gluteal area.Results: The postoperative period ran uneventfully in the three cases shown presented. Closure of the defect was achieved with minimal pain during all the procedure, no bleeding or infection, and no disease recurrence.Conclusions: The gluteal flaps are a reliable technique that provide many advantages as excellent coverage with lower risk of dehiscence, minimal morbidity, few needs for postop-erative care, low risk of recurrence, fast recovery and aesthetically acceptable outcomes.
Referencias bibliográficas
- Corman ML. Classic articles in colonic and rectal surgery, Pilonidal Sinus. Dis Colon Rectum. 1981;24(4):324-6.
- De Parades V, Bouchard D, Janier M, Berger A. Pilonidal sinus disease. J Visc Surg. 2013;150(4):237-47.
- Kumar M, Clay WH, Lee MJ, Brown SR, Hind D. A mapping review of sacrococcygeal pilonidal sinus disease. Tech Coloproctology. 2021;25(6):675-82.
- Søndenaa K, Andersen E, Nesvik I, Søreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorectal Dis. 1995;10(1):39-42.
- Gertsch P, Mosimann R. Verneuil’s disease in the differential diagnosis of suppuration of the anoperineo- buttock region. Helv Chir Acta. 1980;47(3- 4):477-81.
- Von Laffert M, Stadie V, Ulrich J, Marsch WC, Wohlrab J. Morphology of pilonidal sinus disease: some evidence of its being a unilocalized type of hidradenitis suppurativa. Dermatol Basel Switz. 2011;223(4):349-55.
- Doll D, Friederichs J, Boulesteix AL, Düsel W, Fend F, Petersen S. Surgery for asymptomatic pilonidal sinus disease. Int J Colorectal Dis. 2008;23(9):839-44.
- Allen RJ. The superior gluteal artery perforator flap. Clin Plast Surg. 1998;25(2):293-302.
- Lin CT, Chang SC, Chen SG, Tzeng YS.J Modification of the superior gluteal artery perforator flap for reconstruction of sacral sores. Plast Reconstr Aesthet Surg. 2014;67(4):526-32.
- Unal C, Yirmibesoglu OA, Ozdemir J, Hasdemir M. Superior and inferior gluteal artery perforator flaps in reconstruction of gluteal and perianal/perineal hidradenitis suppurativa lesions. Microsurgery. 2011 ;31(7):539-44.
- Blondeel PN, Beyens G, Verhaeghe R, Van Landuyt K, Tonnard P, Monstrey SJ, Matton G.Doppler flowmetry in the planning of perforator flaps. Br J Plast Surg. 1998;51(3):202-9.
- Dogru O, Kargin S, Turan E, Kerimoğlu RS, Nazik EE, Ates D. Long-term outcomes of crystallized phenol application for the treatment of pilonidal sinus disease. J Dermatol Treat.2022;33(3):1383-90.
- Dessily M, Charara F, Ralea S, Allé JL. Pilonidal sinus destruction with a radial laser probe: technique and first Belgian experience. Acta Chir Belg. junio de 2017;117(3):164-8.
- Akkurt G, Ataş H. Comparison of Crystallized Phenol Application and the Karydakis Flap Technique in the Treatment of Sacrococcygeally Localized Pilonidal Sinus Disease. Cureus. 2021;13(5):e15030.
- Enriquez-Navascues JM, Emparanza JI, Alkorta M, Placer C. Meta-analysis of randomized controlled trials comparing different techniques with primary closure for chronic pilonidal sinus. Tech Coloproctology. 2014;18(10):863-72.
- Ray K, Albendary M, Baig MK, Swaminathan C, Sains P, Sajid MS. Limberg flap for the management of pilonidal sinus reduces disease recurrence compared to Karydakis and Bascom procedure: a systematic review and meta-analysis of randomized controlled trials. Minerva Chir.2020;75(5):355-64.
- Dorafshar A, Franczyk M, Gottlieb, Wroblesky K, Lohman R. A prospecetive randomized trail comparing subatmospheric wound therapy with a seales gauzed dressing and the standard vacuum-assited closure device. Ann Plast Surg 2012:69(1);79-84.
- Berthier C, Bérard E, Meresse T, Grolleau JL, Herlin C, Chaput B. A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus.