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KMID : 0371320120820020063
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Journal of the Korean Surgical Society
2012 Volume.82 No. 2 p.63 ~ p.69
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S-plasty for pilonidal disease: modified primary closure reducing tension
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Kim Jae-Keun
Jeong Jin-Cheol
Lee Joung-Bum
Jung Kuk-Hyun
Bae Byong-Ku
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Abstract
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Purpose: S-plasty for pilonidal disease reduces the tension on the midline by distributing it diagonally and flattening the natal cleft. The aim of this study was to evaluate the outcomes of S-plasty on simple midline primary closure and the clinical features of pilonidal patients in a low incidence country.
Methods: S-plasty was applied on 17 patients from July 2008 to October 2010. Data of these patients were collected with computerized prospective database forms during a perioperative period and via telephone interview for follow-up. Surgical site infection (SSI) was defined according to the Center for Disease Control guidelines. The severity of surgical site infection was graded.
Results: All patients were treated with primary S-plasty. Two patients (11.7%) developed low grade SSI. The average healing time after S-plasty was 18.1 days. No recurrences were observed. The mean follow-up period was 13.5 months (range, 6 to 33 months).
Conclusion: We have shown that primary S-plasty for pilonidal disease is simple, and its surgical outcomes are compatible to the results of other surgical treatments. We present primary S-plasty as a feasible treatment option in a low incidence country.
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KEYWORD
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Pilonidal sinus, Wound closure techniques, Surgical wound infections, Wound healing, Surgical flaps
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