• 검색어에 아래의 연산자를 사용하시면 더 정확한 검색결과를 얻을 수 있습니다.
  • 검색연산자
검색연산자 기능 검색시 예
() 우선순위가 가장 높은 연산자 예1) (나노 (기계 | machine))
공백 두 개의 검색어(식)을 모두 포함하고 있는 문서 검색 예1) (나노 기계)
예2) 나노 장영실
| 두 개의 검색어(식) 중 하나 이상 포함하고 있는 문서 검색 예1) (줄기세포 | 면역)
예2) 줄기세포 | 장영실
! NOT 이후에 있는 검색어가 포함된 문서는 제외 예1) (황금 !백금)
예2) !image
* 검색어의 *란에 0개 이상의 임의의 문자가 포함된 문서 검색 예) semi*
"" 따옴표 내의 구문과 완전히 일치하는 문서만 검색 예) "Transform and Quantization"
쳇봇 이모티콘
ScienceON 챗봇입니다.
궁금한 것은 저에게 물어봐주세요.

논문 상세정보

부분 탈상피화 둔부 전위 피판을 이용한 천미골 털둥지굴의 수술적 치료

Surgical Treatment of Sacrococcygeal Pilonidal Sinus with the Partial Deepithelized Gluteal Transposition Flap


Purpose: Pilonidal sinus is a frequent disease that occurs mostly in hairy young men, defined as chronic inflammation and infection of the postsacral sinuses. Wide excision of the affected area is the treatment of choice. Many techniques have been described to cover the defect. However none appears to be the ideal procedure to prevent infection, recurrence, and delayed wound healing. We present the results of an alternative technique that we performed by using partial deepithelized gluteal transposition flap for reconstruction of the defect following wide excision. Methods: From October 2004 to September 2007, we performed the partial deepithelized gluteal transposition flap method on 6 patients. We modified the transposition flap techniques by deepithelialising the medial parts of the flap and burying them under the opposing edge of the flap. The results were compared with previous studies and evaluated regarding duration of surgery, size of defect, hospitalization periods, and complications. Results: All the flaps were healed well with no partial or complete loss of the flap. Hospitalization and immobilization periods were acceptably shortened. Recurrence was not seen. The aesthetic outcome was also satisfactory and all patients were satisfied with the results. Conclusion: The main advantage of our techniques is using healthy tissues to obliterate the dead space, to provide an extra-cushion, and to prevent deep dehiscence. We believe that the partial deepithelized gluteal transposition flap is a good alternative method for treatment of pilonidal sinus.

참고문헌 (14)

  1. De Silva JH: Pilonidal cyst: cause and treatment. Dis Colon Rectum 43: 1146, 2000 
  2. Rosen W, Davidson JS: Gluteus maximus musculocutaneous flap for the treatment of recalcitrant pilonidal disease. Ann Plast Surg 37: 293, 1996 
  3. Bascom J: Pilonidal diasease: origin from follicles of hairs and results of follicle removal as treatment. Surgery 87: 567, 1980 
  4. Tuncbilek G, Nasir S, Ozkan O, Kayikcioglu A, Mavili E: Partial de-epithelialised and buried V-Y advancement flap for reconstruction sacrococcygeal and ischial defects. Scand J Plast Reconstr Surg Hand Surg 38: 94, 2004 
  5. Al Hassan HK, Francis IM, Neglen P: Primary closure or secondary granulation after excision of pilonidal sinus? Acta Chir Scand 156: 695, 1990 
  6. Kim SM, Shin JM, Choi SJ, Kim SM: MR Imaging of sacrococcygeal pilonidal Sinus. J Korean Radiological Soc 43: 615, 2000 
  7. Milito G, Cortese F, Casciani CU: Rhomboid flap procedure for pilonidal sinus: result from 67 cases. Int J Colorectal Dis 13: 113, 1998 
  8. Middleton MD: Treatment of pilonidal sinus by Z-plasty. Br J Surg 55: 516, 1968 
  9. Johnson, HA: On treatment of pilonidal sinus and cysts by conservative excision and W-plasty closure. Plast Reconstr Surg 62: 107, 1978 
  10. Spivak H, Brooks VL, Nussbaum M, Friedman I: Treatment of chronic pilonidal disease. Dis Colon Rectum 39: 1136, 1996 
  11. Perez-Gurri JA, Temple WJ, Ketcham AS: Gluteus maximus myocutaneous flap for the treatment of recalcitrant pilonidal disease. Dis Colon Rectum 27: 262, 1984 
  12. Khatri VP, Espinosa MH, Amin AK: Management of recurrent pilonidal sinus by simple V-Y fasciocutaneous flap. Dis Colon Rectum 37: 1232, 1994 
  13. Sungur N, Kocer U, Uysal A, Arslan C, Cologlu H, Ulusoy G: V-Y Rotation advancement fasciocutaneous flap for excisional defects of pilonidal sinus. Plast Reconstr Surg 117: 2448, 2006 
  14. Wheeland RG: Pilonidal sinus and cyst. cutaneous surgery. 1st ed, Philadelphia, WB Saunder, 1994, p 659 

이 논문을 인용한 문헌 (0)

  1. 이 논문을 인용한 문헌 없음


원문 PDF 다운로드

  • 원문 PDF 정보가 존재하지 않습니다.

원문 URL 링크

  • 원문 URL 링크 정보가 존재하지 않습니다.

원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다. (원문복사서비스 안내 바로 가기)

상세조회 0건 원문조회 0건

DOI 인용 스타일