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World Journal of Surgery

Published in:

01-09-2012

Prospective Evaluation of a Single-sided Innervated Gluteal Artery Perforator Flap for Reconstruction for Extensive and Recurrent Pilonidal Sinus Disease: Functional, Aesthetic, and Patient-reported Long-term Outcomes

Authors: Klaus F. Schrögendorfer, Werner Haslik, Oskar C. Aszmann, Martin Vierhapper, Manfred Frey, David B. Lumenta

Published in: World Journal of Surgery | Issue 9/2012

Abstract

Background

Treating large and extensive pilonidal sinus disease is a challenging task. Long-term reports on flaps suitable for coverage of large, wide, local-excision defects are sparse. We prospectively evaluated data with a minimum 1-year follow-up of the use of a single-sided, innervated, superior gluteal artery perforator flap.

Methods

Twenty-one patients (1 woman, 20 men) with a median age of 26 years (min − max = 18 − 46) were included in the study period from September 2005 to April 2010. We recorded flap size, major and minor complications, hospital length of stay, impairment in activities of daily living, pain, aesthetic outcomes, and sensibility in the gluteal region (PSSD, pressure-specified sensory device) at 6 and 12 months postoperatively.

Results

The mean defect size (±SD) was 13.0 ± 1.9 × 8.6 ± 1.3 × 5.5 ± 1.2 cm (height × width × depth), and median length of hospital stay was 9 days (range = 7–11). Only two patients developed minor wound-healing complications. Visual analog pain scales significantly improved, with no pain detectable at 12 months postoperatively (p < 0.0001). The aesthetic appearance of the results was good in the majority of patients (61.9–85.7 %). PSSD showed gradual normalization, with retained sensibility in the flap area over 12 months postoperatively (p = 0.0232). During the median 36-month (range = 20–60) follow-up, we have not observed any recurrence in the operated area.

Conclusions

The innervated superior gluteal artery perforator flap is a useful technique for covering large and recurrent pilonidal sinus defects following wide local excision and represents an excellent tool in the surgical armamentarium for achieving long-lasting outcomes in this young group of patients.

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Title: Prospective Evaluation of a Single-sided Innervated Gluteal Artery Perforator Flap for Reconstruction for Extensive and Recurrent Pilonidal Sinus Disease: Functional, Aesthetic, and Patient-reported Long-term Outcomes
Authors: Klaus F. Schrögendorfer
Werner Haslik
Oskar C. Aszmann
Martin Vierhapper
Manfred Frey
David B. Lumenta
Publication date: 01-09-2012
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 9/2012
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-012-1639-4

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Prospective Evaluation of a Single-sided Innervated Gluteal Artery Perforator Flap for Reconstruction for Extensive and Recurrent Pilonidal Sinus Disease: Functional, Aesthetic, and Patient-reported Long-term Outcomes

Abstract

Background

Methods

Results

Conclusions

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Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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