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coloproctology

, Volume 41, Issue 2, pp 101–105 | Cite as

Out of the midline—cleft lift, advancement and rotation procedures

  • A. SenapatiEmail author
Leitthema
  • 13 Downloads

Abstract

Surgery is usually necessary to treat symptomatic pilonidal disease. However, some operations have the propensity to make the patient worse. Uncomplicated disease should therefore be treated by operations that excise the pits rather than excisional surgery. More complex disease, however, cannot be treated by these techniques. It has been shown in many publications that off- or out-of-midline closures have better outcomes than midline closures and wounds. Descriptions and results of these procedures are described. Midline wounds should be abandoned in favour of off-midline closures.

Keywords

Surgical procedures, operative Recurrence Wound healing Surgical flaps Pilonidal sinus 

Raus aus der Mittellinie – mit „cleft lift“, Verschiebe- oder Rotationslappen

Zusammenfassung

Nur mit einem chirurgischen Eingriff kann ein Pilonidalsinus heilen. Einige Eingriffe können den Zustand des Patienten verschlechtern, deshalb sollten einfache Pilonidalsinus mit einfachen Methoden wie „pit picking“ statt chirurgischer Exzision behandelt werden. Kompliziertere Sinus werden hingegen mit einfachen Verfahren nicht ausreichend versorgt. Mittlerweile ist es Allgemeinwissen, dass Verfahren außerhalb der Mittellinie bessere Ergebnisse zeigen als Mittellinienverschlüsse. Gängige Off-Midline-Verfahren werden hier dargestellt. Mittellinienverschlüsse sollten nicht mehr angewandt und stattdessen Off-Midline-Verfahren eingesetzt werden.

Schlüsselwörter

Chirurgische Verfahren, operativ Rezidiv Wundheilung Chirurgische Lappen Pilonidalsinus 

Notes

Compliance with ethical guidelines

Conflict of interest

A. Senapati declares that she has no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.St. Mark’s HospitalHarrow, LondonUK
  2. 2.Queen Alexandra HospitalPortsmouth, HantsUK

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