Rhomboid Flap Versus Semi Closure Technique in Treatment of Complex Pilonidal Sinus | ||||
| Zagazig University Medical Journal | ||||
| Article 44, Volume 30, Issue 8.1, November 2024, Page 4200-4206 PDF (1.04 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2024.265968.3144 | ||||
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| Authors | ||||
Eshraq Salim El-Sayed   ; Osama Hassan Gharib ; Hatem Mohammad Abdel Moneim ; Mohamed Ibrahim Fareed
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| General Surgery Department, Faculty of Medicine, Zagazig University, Egypt. | ||||
| Abstract | ||||
| Background: Pilonidal sinus is a disease that most commonly rises in the hair follicles of the natal cleft of the sacrococcygeal area. Objective: The aim of the present study was to compare the Rhomboid flap and the semi closure technique for the treatment of recurrent pilonidal sinus. Patients and methods: This prospective randomized comparative study includes thirty patients with complex sacrococcygeal pilonidal sinus. Patients were divided equally into group (A) patients who underwent semi-closure technique and group (B) patients who underwent rhomboid flap technique. Follow up of both groups done during postoperative care and at time of 2nd, 3rd, 4th and 6th post-operative months. Results: There was a significant difference regarding pain duration, time of comfort sitting, total time of healing and time of return to work between the two groups for favor of group B which was markedly short in patients of group B. It was found that post-operative wound complications as regards delayed wound healing, wound infection and wound dehiscence were more with patients operated by rhomboid flap than semi closure technique. Conclusion: Patient experienced rhomboid flap technique shows a decrease in the duration of pain and time need for sitting comfortably and an early return to work and normal daily activity. | ||||
| Keywords | ||||
| Pilonidal Sinus; Rhomboid Flap; Semi Closure Technique | ||||
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