RESEARCH PAPER
Semilunar excision of pilonidal sinus with advancement flap wound closure in the treatment of sacrococcygeal pilonidal disease
Łukasz Dyśko 1  
,   Waldemar Kurpiewski 2  
,   Marek Kowalczyk 3  
,   Łukasz Klepacki 4  
,   Ewa Zieliński 5  
,   Jacek Lasocki 1  
,   Krzysztof Batia 1  
,   Wiesław Pesta 2  
,   Oksana Klonowska 4  
,   Dana Zupanovich Lucka 6  
 
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1
Department of Oncological and General Surgery, University Hospital in Olsztyn, Poland
2
Department of General and Minimally Invasive Surgery, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
3
Department of Psychology and Social Sciences in Medicine and Public Health, Faculty of Health Sciences, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
4
Department of Anatomy, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
5
Department of Emergency Medicine and Disaster, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland
6
Department of Business, Fresno Pacific University, CA, The United States of America
CORRESPONDING AUTHOR
Łukasz Dyśko   

Department of Oncological and General Surgery, University Hospital in Olsztyn, Warszawska 30, 10-082 Olsztyn, Poland. Tel.: +48 89 524 53 41.
Submission date: 2021-07-27
Final revision date: 2021-12-16
Acceptance date: 2021-12-16
Online publication date: 2021-12-27
 
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Sacrococcygeal pilonidal disease is common and had a lot of variants treatment techniques.

Aim:
This study presents the results of treatment of the pilonidal sinus by the Suchorski method.

Material and methods:
The study was conducted from 2010 to 2017 on 148 patients who underwent Suchorski’s method of wound closure, using the displaced skin-fat flap after the crescent-like excision of the hair sinus in the sacroiliac area. We analyzed length of observation, duration of the surgery, length of hospital stay, complications healing of the surgical wound, duration of pain, number of relapses, disturbances of superficial skin and fat flap sensation, and cosmetic effect.

Results and discussion:
The average follow-up time after surgery was 47 months (12–101 months). During the postoperative period, 11 (7.4%) cases reported complications related to wound healing 8 (5.4%) cases experiencedlimited wound dehiscence, and 1 (0.67%) case showed the wound had completely diverged. Only 2 (1.34%) patients developed a seroma.

Conclusions:
The crescent-like excision of the pilonidal sinus of the sacrococcygeal region using the Suchorski’s method is worth recommending, as a modern approach to treating pilonidal disease. This method offers the surgeon the ability to cut not only the small sinuses, but effect large-scale changes and improve patient outcomes.

FUNDING
None declared.
CONFLICT OF INTEREST
The authors declare that they have no competing interests.
 
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