Skip to main content
Erschienen in: European Surgery 4/2016

01.08.2016 | short communication

The cleft lift procedure for complex pilonidal disease

A pictorial description

verfasst von: Paola De Nardi, MD, Paolo Giovanni Gazzetta, MD, Guido Fiorentini, MD, Giovanni Guarneri, MD

Erschienen in: European Surgery | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Summary

Background

The cleft lift procedure was introduced for the treatment of pilonidal sinus disease, with the aim of shifting the healing line off the midline. The aim of the present study is to provide a tuitional description of the cleft lift procedure for the treatment of complex pilonidal sinus disease.

Methods

After successful treatment of 40 cases of complex pilonidal disease, photographs recorded from the operations were reviewed and screened in order to present the indications, the key stages of the operation, the surgical variants, and the results.

Results

All of the procedures were performed as 1‑day surgery with no intraoperative complications. Partial wound dehiscence was experienced by 12.5 % of patients. No recurrence was observed after a mean follow-up of 21 months.

Conclusion

This technique is easy to learn and to perform, with minimal patient discomfort, limited in-patient stay, early recovery, and a good healing rate.
Literatur
1.
Zurück zum Zitat Al-Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev. 2010;1:CD006213. doi:10.1002/14651858.CD006213.pub3.PubMed Al-Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev. 2010;1:CD006213. doi:10.1002/14651858.CD006213.pub3.PubMed
2.
Zurück zum Zitat Bertelsen CA. Cleft-lift operation for pilonidal sinuses under tumescent local anesthesia: a prospective cohort study of peri- and postoperative pain. Dis Colon Rectum. 2011;54(7):895–900.CrossRefPubMed Bertelsen CA. Cleft-lift operation for pilonidal sinuses under tumescent local anesthesia: a prospective cohort study of peri- and postoperative pain. Dis Colon Rectum. 2011;54(7):895–900.CrossRefPubMed
3.
Zurück zum Zitat Bascom J, Bascom T. Failed pilonidal surgery: new paradigm and new operation leading to cures. Arch Surg. 2002;137(10):1146–50, discussion 51.CrossRefPubMed Bascom J, Bascom T. Failed pilonidal surgery: new paradigm and new operation leading to cures. Arch Surg. 2002;137(10):1146–50, discussion 51.CrossRefPubMed
4.
Zurück zum Zitat Dudink R, Veldkamp J, Nienhuijs S, Heemskerk J. Secondary healing versus midline closure and modified Bascom natal cleft lift for pilonidal sinus disease. Scand J Surg. 2011;100(2):110–3.PubMed Dudink R, Veldkamp J, Nienhuijs S, Heemskerk J. Secondary healing versus midline closure and modified Bascom natal cleft lift for pilonidal sinus disease. Scand J Surg. 2011;100(2):110–3.PubMed
5.
Zurück zum Zitat Gips M, Melki Y, Salem L, Weil R, Sulkes J. Minimal surgery for pilonidal disease using trephines: description of a new technique and long-term outcomes in 1,358 patients. Dis Colon Rectum. 2008;51(11):1656–62.CrossRefPubMed Gips M, Melki Y, Salem L, Weil R, Sulkes J. Minimal surgery for pilonidal disease using trephines: description of a new technique and long-term outcomes in 1,358 patients. Dis Colon Rectum. 2008;51(11):1656–62.CrossRefPubMed
6.
Zurück zum Zitat Guner A, Boz A, Ozkan OF, Ileli O, Kece C, Reis E. Limberg flap versus bascom cleft lift techniques for sacrococcygeal pilonidal sinus: prospective, randomized trial. World J Surg. 2013;37(9):2074–80.CrossRefPubMed Guner A, Boz A, Ozkan OF, Ileli O, Kece C, Reis E. Limberg flap versus bascom cleft lift techniques for sacrococcygeal pilonidal sinus: prospective, randomized trial. World J Surg. 2013;37(9):2074–80.CrossRefPubMed
7.
Zurück zum Zitat Rushfeldt C, Bernstein A, Norderval S, Revhaug A. Introducing an asymmetric cleft lift technique as a uniform procedure for pilonidal sinus surgery. Scand J Surg. 2008;97(1):77–81.PubMed Rushfeldt C, Bernstein A, Norderval S, Revhaug A. Introducing an asymmetric cleft lift technique as a uniform procedure for pilonidal sinus surgery. Scand J Surg. 2008;97(1):77–81.PubMed
8.
Zurück zum Zitat Tezel E. A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Dis. 2007;9:575–6.CrossRefPubMed Tezel E. A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Dis. 2007;9:575–6.CrossRefPubMed
9.
Zurück zum Zitat Kayaalp C, Olmez A, Aydin C, Piskin T. Tumescent local anesthesia for excision and flap procedures in treatment of pilonidal disease. Dis Colon Rectum. 2009;52(10):1780–3.CrossRefPubMed Kayaalp C, Olmez A, Aydin C, Piskin T. Tumescent local anesthesia for excision and flap procedures in treatment of pilonidal disease. Dis Colon Rectum. 2009;52(10):1780–3.CrossRefPubMed
10.
Zurück zum Zitat Strazar AR, Leynes PG, Lalonde DH. Minimizing the pain of local anesthesia injection. Plast Reconstr Surg. 2013;132(3):675–84.CrossRefPubMed Strazar AR, Leynes PG, Lalonde DH. Minimizing the pain of local anesthesia injection. Plast Reconstr Surg. 2013;132(3):675–84.CrossRefPubMed
11.
Zurück zum Zitat Parades V de, Bouchard D, Janier M, Berger A. Pilonidal sinus disease. J Visc Surg. 2013;150(4):237–47.CrossRefPubMed Parades V de, Bouchard D, Janier M, Berger A. Pilonidal sinus disease. J Visc Surg. 2013;150(4):237–47.CrossRefPubMed
12.
Zurück zum Zitat Humphries AE, Duncan JE. Evaluation and management of pilonidal disease. Surg Clin North Am. 2010;90:113–24. doi:10.1016/j.suc.2009.09.006.CrossRefPubMed Humphries AE, Duncan JE. Evaluation and management of pilonidal disease. Surg Clin North Am. 2010;90:113–24. doi:10.1016/j.suc.2009.09.006.CrossRefPubMed
Metadaten
Titel
The cleft lift procedure for complex pilonidal disease
A pictorial description
verfasst von
Paola De Nardi, MD
Paolo Giovanni Gazzetta, MD
Guido Fiorentini, MD
Giovanni Guarneri, MD
Publikationsdatum
01.08.2016
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 4/2016
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-016-0428-y

Weitere Artikel der Ausgabe 4/2016

European Surgery 4/2016 Zur Ausgabe