RHOMBOID FLAP VERSUS SEMICLOSURE METHOD IN TREATMENT OF RECURRENT PILONIDAL SINUS | ||||
| Zagazig University Medical Journal | ||||
| Article 19, Volume 28, Issue 6.2, November 2022, Page 132-138 PDF (477.92 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2020.16952.1518 | ||||
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| Authors | ||||
Hesham Ahmed  1; Mohamed Mahmoud Riad2; Mostafa Mohamed Khairy2; Osama Hasan Gharib3
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| 1Department of General Surgery, Faculty of Medicine – Zagazig University, Egypt | ||||
| 2Department of General Surgery, Faculty of Medicine – Zagazig University, Egypt | ||||
| 3General surg.depart. faculty of medicine Zagazig university. | ||||
| Abstract | ||||
| Background: One of the most important surgical issues in the treatment of pilonidal sinus disease is recurrence. Aim of the work: The aim of this study is to compare two surgical techniques (rhomboid flap and semiclosure method) for treatment of recurrent pilonidal sinus. Patients & Methods: This randomized clinical trial was conducted in Zagazig University Hospitals between the period of Aug 2018 to Feb 2019 on 12 patients with recurrent pilonidal sinus, divided randomly into 2 groups: Group A 6 patients managed by semiclosure method and Group B 6 patients operated with rhomboid flap method. Results: There was a significant difference regarding pain duration, time of comfort sit, total time of healing and time of return to work between the two groups for the favor of group B which was markedly short in patients of group B. according to post-operative complication regarding delayed wound healing and wound infection had no significant difference between group A and group B. Regarding post-operative recurrence, follow up of both groups done during postoperative care and at time of 2nd, 3rd, 4th and 6th post-operative months. Only one case of group B had recurrence with no recurrent cases reported during the 6 post-operative months in group A . Conclusions: Patient of group A shows decreased pain duration, time need for comfortable sit and early return to work. There no significant difference between the 2 groups in post-operative complications. Rhomboid flap repair is an advantageous and effective modality than semiclosure method in treatment of sacrococcygeal disease | ||||
| Keywords | ||||
| Rhomboid Flap; Semiclosure method; Recurrent Pilonidal Sinus; sacrococcygeal disease | ||||
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