title: Bilateral gluteal advancement flap for treatment of recurrent sacrococcygeal pilonidal disease: A prospective cohort study.
abstract: BACKGROUND
  There is controversy about the best surgical approach for recurrent pilonidal disease (PND) up till now. This study aims to evaluate the efficacy of bilateral gluteal fascio-myo-cutaneous advancement flap (BGFMCF) in treatment of recurrent PND.
  
  
  METHODS
  Forty patients (35 males, 5 females) with recurrent PND were admitted and treated with BGFMCF. Variables assessed were incidence of recurrence, postoperative complications, patients' satisfaction and quality of life.
  
  
  RESULTS
  Patients had a mean age of 25 ± 6.8 years and a mean body mass index of 28.4 ± 2.7. Mean operative time was 87 ± 13 min and mean length of hospital stay was 3 ± 0.7 days. Mean period of follow-up was 15.8 ± 4.9 months. Recurrence was detected in 2 (5%) patients and minor complications occurred in 6 (15%) patients. Thirty eight (95%) patients were satisfied by the procedure at the end of follow-up period.
  
  
  CONCLUSIONS
  BGFMCF is an effective procedure for treatment of recurrent sacrococcygeal PND with low recurrence rate and acceptable morbidity.
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura City, Dakahlia providence, Egypt. Electronic address: Khaledalfy@hotmail.com.
authors.forename: Khaled
authors.initials: K
authors.lastname: Elalfy
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura City, Dakahlia providence, Egypt. Electronic address: sameh200@hotmail.com.
authors.forename: Sameh
authors.initials: S
authors.lastname: Emile
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura City, Dakahlia providence, Egypt. Electronic address: dr_lotfy9@hotmail.com.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Lotfy
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura City, Dakahlia providence, Egypt. Electronic address: m_elkhir@yahoo.com.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Youssef
authors.affiliation: General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura City, Dakahlia providence, Egypt. Electronic address: hossamelfeki@gmail.com.
authors.forename: Hossam
authors.initials: H
authors.lastname: Elfeki
mesh_terms: D000328:Adult; D015992:Body Mass Index; D002081:Buttocks / Q000601:surgery; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology / Q000601:surgery*; D061646:Operative Time; D017060:Patient Satisfaction; D010781:Photography; D010864:Pilonidal Sinus / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D012445:Sacrococcygeal Region / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome; D055815:Young Adult
keywords: Flap surgery; Gluteal advancement; Pilonidal disease; Pilonidal sinus; Recurrent