SavedAdd your journal

Journals / Gazi Medical Journal / 2006 / Cilt: 17 - Sayı: 3

Superior gluteal arter perforator flebi: Komplike pilonidal sinüs tedavisinde bir alternatif

Superior gluteral artery perforator flap: An alternative in the treatment of complicated pilonidal sinus

Bülent MENTEŞ
Selahattin ÖZMEN
Fulya FINDIKÇIOĞLU
Sebahattin KANDAL
Pages
176–178
Publication Date
2022-10-19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The superior gluteal artery perforator flap is not the first choice for treating sacrococcygeal pilonidal sinuses; however, it provides a reliable pathophysiological solution for the surgical reconstruction of recurrent, obs­tinate, wide and especially long pilonidal sinus cases.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: Although the majority of sacrococcygeal pilonidal sinuses can be treated with simple surgical procedures, some persistent cases are en­countered.
📊
Key Findings & Data:Materials and Methods: This article describes an 18-year-old male who presented with chronic pilonidal sinus disease, which was resistant to dif­ferent treatment modalities applied over the previous four years.
💡
Conclusion & Impact:Conclusion: The superior gluteal artery perforator flap is not the first choice for treating sacrococcygeal pilonidal sinuses; however, it provides a reliable pathophysiological solution for the surgical reconstruction of recurrent, obs­tinate, wide and especially long pilonidal sinus cases.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: Although the majority of sacrococcygeal pilonidal sinuses can be treated with simple surgical procedures, some persistent cases are en­countered. Materials and Methods: This article describes an 18-year-old male who presented with chronic pilonidal sinus disease, which was resistant to dif­ferent treatment modalities applied over the previous four years. He was treated with a superior gluteal artery pedicled perforator flap from the left hip after complete excision of all the sinuses. Results: No complication was observed during the postoperative period. The patient was healthy and no recurrence was observed during the 12-month follow-up period. Conclusion: The superior gluteal artery perforator flap is not the first choice for treating sacrococcygeal pilonidal sinuses; however, it provides a reliable pathophysiological solution for the surgical reconstruction of recurrent, obs­tinate, wide and especially long pilonidal sinus cases.

Özet

Giriş: Sakrokoksigeal pilonidal sinüslerin birçoğu basit cerrahi tekniklerle tedavi edilebilmesine rağmen bazı olgular tedaviye oldukça dirençlidirler. Olgu Sunumu: Bu çalışmada, son 4 yılda çeşitli tedavilere rağmen iyileş­meyen pilonidal sinus şikayetiyle başvuran 18 yaşında bir erkek hastayı sunduk. Tüm sinüslerin geniş bir şekilde eksizyonunu takiben hastanın sol tarafından hazırlanan superior gluteal arter pediküllü perforator flebi ile de-fekt onarıldı. Bulgular: Postoperatif dönemde komplikasyon olmadı. Hastanın 12 aylık takiplerinde bir sorun saptanmadı. Sonuç: Superior gluteal arter perforator flebi sakrokoksigeal pilonidal si­nüslerin tedavisi için ilk tercih değildir. Ancak, tekrarlayan, dirençli, geniş ve özellikle vertikal boyu uzun olguların tedavisi için uygun patofızyolojik bir çözüm sağlayabilir.

🔖

Cite This Article

MENTEŞ, B., ÖZMEN, S., FINDIKÇIOĞLU, F., KANDAL, S. (2022). Superior gluteal arter perforator flebi: Komplike pilonidal sinüs tedavisinde bir alternatif. Gazi Medical Journal, Cilt: 17 - Sayı: 3, 176–178. https://ajindex.com/articles/520428

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Cihan A, Mentes BB, Tatlicioglu E, Ozmen S, Leventoglu S, Ucan BH. Modified Limberg flap reconstruction compares favourably with primary repair for pilonidal sinus surgery. ANZ J Surg. 2004; 74: 238-42. 2.Koshima I, Moriguchi T, Soeda S, Kawata S, Ohta S, Ikeda A. The gluteal perforator-based flap for repair of sacral pressure sores. Plast Reconstr Surg. 1993; 91: 678-83. 3.Verpaele AM, Blondeel PN, Van Landuyt K, Tonnard PL, Decordier B, Monstrey SJ, Matton G. The superior gluteal artery perforator flap: an additional tool in the treatment of sacral pressure sores. Br J Plast Surg. 1999; 52: 385-91. 4.Blondeel PN, Demuynck M, Mete D, Monstrey SJ, Van Landuyt K, Matton G, Vanderstraeten GG. Sensory nerve repair in perforator flaps for autologous breast reconstruction: sensational or senseless? Br J Plast Surg. 1999; 52: 37-44. 5.Hull TL, Wu J. Pilonidal disease. Surg Clin North Am. 2002; 82: 1169-85. 6.Nessar G, Kayaalp C, Seven C. Elliptical rotation flap for pilonidal sinus. Am J Surg. 2004; 187: 300-3. 7.Blondeel PN, Van Landuyt K, Hamdi M, Monstrey SJ. Soft tissue reconstruction with the superior gluteal artery perforator flap. Clin Plast Surg. 2003; 30: 371-82.