A new flap for reconstruction of pilonidal sinus: lumbar adipofascial turnover flap.
BACKGROUND
"Adipofascial turnover flap" is a well-known procedure, but it is generally not used for the surgical treatment of pilonidal sinus disease. The "lumbar adipofascial turnover flap" has been used in this study for the reconstruction of uncomplicated pilonidal sinus disease.


METHODS
Ten cases (8 male and 2 female patients) were operated on by this technique. The reconstruction was performed with the lumbar adipofascial turnover flap. The flap sizes ranged from 4 x 7 cm to 5 x 9 cm (mean, 4.5 x 8 cm), and they were elevated with length-to-base ratio below 2:1. The follow-up period was 14 to 26 months.


RESULTS
Postoperative magnetic resonance imaging, computed tomography scan, and power Doppler ultrasound examinations revealed viability of the flaps in all patients. There was no distortion of anatomic landmarks in any of the cases. The esthetic results were satisfying for all patients as well. There was no recurrence in any cases.


CONCLUSIONS
The hospital stay and mean time off work were shorter compared with other methods of reconstruction and there was no recurrence. We advocate that the lumbar adipofascial turnover flap is an excellent choice for reconstruction of cases with uncomplicated pilonidal sinus disease.
Turan
Aydin
A
Plastic and Reconstructive Surgery Clinic, SSK Vakif Gureba Hospital, Istanbul, Turkey. aturanprs@yahoo.com
Isler
Can
C
Baş
Serap C
SC
Genç
Bulent
B
Ozsoy
Zafer
Z
D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D004954:Esthetics; D005205:Fascia / Q000637:transplantation; D005260:Female; D006801:Humans; D008161:Lumbosacral Region; D008279:Magnetic Resonance Imaging; D008297:Male; D010864:Pilonidal Sinus / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome