{"id":3897,"date":"2022-09-21T14:14:38","date_gmt":"2022-09-21T14:14:38","guid":{"rendered":"https:\/\/innovacirugia.com\/surgical-techniques-for-pilonidal-sinus\/flaps\/"},"modified":"2025-01-17T17:15:21","modified_gmt":"2025-01-17T17:15:21","slug":"flaps","status":"publish","type":"page","link":"https:\/\/innovacirugia.com\/en\/surgical-techniques-for-pilonidal-sinus\/flaps\/","title":{"rendered":"Flaps"},"content":{"rendered":"\t\t
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Flap Techniques<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Pilonidal cyst<\/strong> is an increasingly frequent pathology in young people, mainly in men between 15 and 30 years of age. Find out how to treat it and what are the methods and flap techniques used to heal them.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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flap treatments<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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As mentioned above, pilonidal disease usually manifests as an abscess in the sacrococcygeal region, which may be drained spontaneously or may require surgical incision to relieve pain and inflammation.<\/p>\n

Among the surgical treatment alternatives for this pathology, different types of skin flaps have been described, which place the wound closure outside the midline, or by changing the direction of the incision, with good results.<\/p>\n

Among the most commonly used flaps, the following are described below:<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\tGet rid of sinus! No painful and endless cures!<\/i><\/b> \n\nRecover your normal life in a few days, with the best possible aesthetic result, under the care of experts in Coloproctology.<\/i>\t\t\t<\/p>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Flap Techniques
for Pilonidal Sinuses<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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It consists of the removal of the fistulous orifices only. It is a very minimally invasive technique with good postoperative pain control and rapid recovery. <\/p>\n

However, it can only be performed in very mildly symptomatic cases, with few midline fistulous orifices and no signs of chronic inflammation. Moreover, it does not correct the cause of the SP, so new pilonidal cysts can be expected to occur in the long term. <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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They consist of repairing the wound caused by removing the sinus by interposing healthy surrounding tissue. There are several types of flaps: <\/p>\n

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    1. Modified Karydakis\/Bascom\/”Cleft Lift”:<\/strong> this is the technique we recommend most often, so there is a whole section on it.<\/li>\n
    2. Others: Limberg, Z-plasty, rotation flaps<\/strong>: these flaps require modifying a large area of skin around the wound. They are technically more complex, obtain worse aesthetic results and when they fail they do not leave room for many options, so they should be reserved for dramatic cases. <\/li>\n<\/ol>\n<\/li>\n<\/ol><\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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      1. Also known as Karydakis Flap, Bascom Flap or “Cleft Lift Flap”, it consists of a minimized and eccentric removal of the sinus, keeping as much tissue as possible, with the double intention of flattening the intergluteal groove and removing the midline scar.<\/li>\n
      2. It is undoubtedly the most effective technique in the long term, with a recurrence rate of less than 5%. In addition, it achieves an excellent esthetic result and postoperative pain control, especially compared to the most common techniques.<\/li>\n<\/ol>\n