Bilateral gluteal advancement flap for treatment of recurrent sacrococcygeal pilonidal disease: A prospective cohort study
Abstract Background There is controversy about the best surgical approach for recurrent pilonidal disease (PND) up till now. This study aims to evaluate the efficacy of bilateral gluteal fascio-myo-cutaneous advancement flap (BGFMCF) in treatment of recurrent PND. Patient and methods Forty patients...
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| Veröffentlicht in: | International journal of surgery (London, England) England), 2016-05, Vol.29, p.1-8 |
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| creator | Elalfy, Khaled Emile, Sameh Lotfy, Ahmed Youssef, Mohamed Elfeki, Hossam |
| description | Abstract Background There is controversy about the best surgical approach for recurrent pilonidal disease (PND) up till now. This study aims to evaluate the efficacy of bilateral gluteal fascio-myo-cutaneous advancement flap (BGFMCF) in treatment of recurrent PND. Patient and methods Forty patients (35 males, 5 females) with recurrent PND were admitted and treated with BGFMCF. Variables assessed were incidence of recurrence, postoperative complications, patients' satisfaction and quality of life. Results Patients had a mean age of 25 ± 6.8 years and a mean body mass index of 28.4 ± 2.7. Mean operative time was 87 ± 13 min and mean length of hospital stay was 3 ± 0.7 days. Mean period of follow-up was 15.8 ± 4.9 months. Recurrence was detected in 2 (5%) patients and minor complications occurred in 6 (15%) patients. Thirty eight (95%) patients were satisfied by the procedure at the end of follow-up period. Conclusion BGFMCF is an effective procedure for treatment of recurrent sacrococcygeal PND with low recurrence rate and acceptable morbidity. |
| doi_str_mv | 10.1016/j.ijsu.2016.03.006 |
| format | Article |
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This study aims to evaluate the efficacy of bilateral gluteal fascio-myo-cutaneous advancement flap (BGFMCF) in treatment of recurrent PND. Patient and methods Forty patients (35 males, 5 females) with recurrent PND were admitted and treated with BGFMCF. Variables assessed were incidence of recurrence, postoperative complications, patients' satisfaction and quality of life. Results Patients had a mean age of 25 ± 6.8 years and a mean body mass index of 28.4 ± 2.7. Mean operative time was 87 ± 13 min and mean length of hospital stay was 3 ± 0.7 days. Mean period of follow-up was 15.8 ± 4.9 months. Recurrence was detected in 2 (5%) patients and minor complications occurred in 6 (15%) patients. Thirty eight (95%) patients were satisfied by the procedure at the end of follow-up period. Conclusion BGFMCF is an effective procedure for treatment of recurrent sacrococcygeal PND with low recurrence rate and acceptable morbidity.</description><identifier>ISSN: 1743-9191</identifier><identifier>EISSN: 1743-9159</identifier><identifier>DOI: 10.1016/j.ijsu.2016.03.006</identifier><identifier>PMID: 26975846</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Body Mass Index ; Buttocks - surgery ; Female ; Flap surgery ; Gluteal advancement ; Humans ; Length of Stay ; Male ; Neoplasm Recurrence, Local - epidemiology ; Neoplasm Recurrence, Local - surgery ; Operative Time ; Patient Satisfaction ; Photography ; Pilonidal disease ; Pilonidal sinus ; Pilonidal Sinus - pathology ; Pilonidal Sinus - surgery ; Postoperative Complications - epidemiology ; Prospective Studies ; Quality of Life ; Reconstructive Surgical Procedures - methods ; Recurrence ; Recurrent ; Sacrococcygeal Region - surgery ; Surgery ; Surgical Flaps ; Treatment Outcome ; Young Adult</subject><ispartof>International journal of surgery (London, England), 2016-05, Vol.29, p.1-8</ispartof><rights>IJS Publishing Group Limited</rights><rights>2016 IJS Publishing Group Ltd</rights><rights>Copyright © 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-446cde1a16c6bc70b8bd3793b00f5f690a6fb49df6929821dcc42b31633809453</citedby><cites>FETCH-LOGICAL-c326t-446cde1a16c6bc70b8bd3793b00f5f690a6fb49df6929821dcc42b31633809453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1743919116002132$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26975846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elalfy, Khaled</creatorcontrib><creatorcontrib>Emile, Sameh</creatorcontrib><creatorcontrib>Lotfy, Ahmed</creatorcontrib><creatorcontrib>Youssef, Mohamed</creatorcontrib><creatorcontrib>Elfeki, Hossam</creatorcontrib><title>Bilateral gluteal advancement flap for treatment of recurrent sacrococcygeal pilonidal disease: A prospective cohort study</title><title>International journal of surgery (London, England)</title><addtitle>Int J Surg</addtitle><description>Abstract Background There is controversy about the best surgical approach for recurrent pilonidal disease (PND) up till now. This study aims to evaluate the efficacy of bilateral gluteal fascio-myo-cutaneous advancement flap (BGFMCF) in treatment of recurrent PND. Patient and methods Forty patients (35 males, 5 females) with recurrent PND were admitted and treated with BGFMCF. Variables assessed were incidence of recurrence, postoperative complications, patients' satisfaction and quality of life. Results Patients had a mean age of 25 ± 6.8 years and a mean body mass index of 28.4 ± 2.7. Mean operative time was 87 ± 13 min and mean length of hospital stay was 3 ± 0.7 days. Mean period of follow-up was 15.8 ± 4.9 months. Recurrence was detected in 2 (5%) patients and minor complications occurred in 6 (15%) patients. Thirty eight (95%) patients were satisfied by the procedure at the end of follow-up period. Conclusion BGFMCF is an effective procedure for treatment of recurrent sacrococcygeal PND with low recurrence rate and acceptable morbidity.</description><subject>Adult</subject><subject>Body Mass Index</subject><subject>Buttocks - surgery</subject><subject>Female</subject><subject>Flap surgery</subject><subject>Gluteal advancement</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Operative Time</subject><subject>Patient Satisfaction</subject><subject>Photography</subject><subject>Pilonidal disease</subject><subject>Pilonidal sinus</subject><subject>Pilonidal Sinus - pathology</subject><subject>Pilonidal Sinus - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Recurrence</subject><subject>Recurrent</subject><subject>Sacrococcygeal Region - surgery</subject><subject>Surgery</subject><subject>Surgical Flaps</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1743-9191</issn><issn>1743-9159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxS0EoqXwBTigHLlsGNtZJ0YIqa34J1XqoXC2HHtSHLxxsJ2Vlk-Pw5Yeeuhpnq33RjO_IeQ1hZoCFe_G2o1pqVnRNfAaQDwhp7Rt-EbSrXx6ryU9IS9SGgEa6Gj3nJwwIdtt14hT8ufCeZ0xal_d-iVjqdru9WRwh1OuBq_nagixyhF1_vcVhiqiWWJcH0mbGEww5nC7Rmfnw-RsUdYl1AnfV-fVHEOa0WS3x8qEnyGWWF7s4SV5Nmif8NVdPSM_Pn_6fvl1c3X95dvl-dXGcCbypmmEsUg1FUb0poW-6y1vJe8Bhu0gJGgx9I20RTLZMWqNaVjPqeC8A9ls-Rl5e-xbBvm9YMpq55JB7_WEYUmKtp0ELjraFis7WstWKUUc1BzdTseDoqBW5mpUK3O1MlfAVWFeQm_u-i_9Du195D_kYvhwNGDZcu8wqmQcFsTWFZJZ2eAe7__xQdx4Nzmj_S88YBrDEqfCT1GVmAJ1s159PToVAIxyxv8Cn9qqBg</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Elalfy, Khaled</creator><creator>Emile, Sameh</creator><creator>Lotfy, Ahmed</creator><creator>Youssef, Mohamed</creator><creator>Elfeki, Hossam</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Bilateral gluteal advancement flap for treatment of recurrent sacrococcygeal pilonidal disease: A prospective cohort study</title><author>Elalfy, Khaled ; Emile, Sameh ; Lotfy, Ahmed ; Youssef, Mohamed ; Elfeki, Hossam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-446cde1a16c6bc70b8bd3793b00f5f690a6fb49df6929821dcc42b31633809453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Body Mass Index</topic><topic>Buttocks - surgery</topic><topic>Female</topic><topic>Flap surgery</topic><topic>Gluteal advancement</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Neoplasm Recurrence, Local - epidemiology</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Operative Time</topic><topic>Patient Satisfaction</topic><topic>Photography</topic><topic>Pilonidal disease</topic><topic>Pilonidal sinus</topic><topic>Pilonidal Sinus - pathology</topic><topic>Pilonidal Sinus - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Recurrence</topic><topic>Recurrent</topic><topic>Sacrococcygeal Region - surgery</topic><topic>Surgery</topic><topic>Surgical Flaps</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elalfy, Khaled</creatorcontrib><creatorcontrib>Emile, Sameh</creatorcontrib><creatorcontrib>Lotfy, Ahmed</creatorcontrib><creatorcontrib>Youssef, Mohamed</creatorcontrib><creatorcontrib>Elfeki, Hossam</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of surgery (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elalfy, Khaled</au><au>Emile, Sameh</au><au>Lotfy, Ahmed</au><au>Youssef, Mohamed</au><au>Elfeki, Hossam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral gluteal advancement flap for treatment of recurrent sacrococcygeal pilonidal disease: A prospective cohort study</atitle><jtitle>International journal of surgery (London, England)</jtitle><addtitle>Int J Surg</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>29</volume><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>1743-9191</issn><eissn>1743-9159</eissn><abstract>Abstract Background There is controversy about the best surgical approach for recurrent pilonidal disease (PND) up till now. This study aims to evaluate the efficacy of bilateral gluteal fascio-myo-cutaneous advancement flap (BGFMCF) in treatment of recurrent PND. Patient and methods Forty patients (35 males, 5 females) with recurrent PND were admitted and treated with BGFMCF. Variables assessed were incidence of recurrence, postoperative complications, patients' satisfaction and quality of life. Results Patients had a mean age of 25 ± 6.8 years and a mean body mass index of 28.4 ± 2.7. Mean operative time was 87 ± 13 min and mean length of hospital stay was 3 ± 0.7 days. Mean period of follow-up was 15.8 ± 4.9 months. Recurrence was detected in 2 (5%) patients and minor complications occurred in 6 (15%) patients. Thirty eight (95%) patients were satisfied by the procedure at the end of follow-up period. Conclusion BGFMCF is an effective procedure for treatment of recurrent sacrococcygeal PND with low recurrence rate and acceptable morbidity.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>26975846</pmid><doi>10.1016/j.ijsu.2016.03.006</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Body Mass Index Buttocks - surgery Female Flap surgery Gluteal advancement Humans Length of Stay Male Neoplasm Recurrence, Local - epidemiology Neoplasm Recurrence, Local - surgery Operative Time Patient Satisfaction Photography Pilonidal disease Pilonidal sinus Pilonidal Sinus - pathology Pilonidal Sinus - surgery Postoperative Complications - epidemiology Prospective Studies Quality of Life Reconstructive Surgical Procedures - methods Recurrence Recurrent Sacrococcygeal Region - surgery Surgery Surgical Flaps Treatment Outcome Young Adult |
| title | Bilateral gluteal advancement flap for treatment of recurrent sacrococcygeal pilonidal disease: A prospective cohort study |
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