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Short-term and long-term outcomes of the cleft lift procedure in the management of nonacute pilonidal disorders.
Dis Colon Rectum 2008; 51(7):1100-6DC

Abstract

PURPOSE

We report the results of the cleft lift procedure in the management of nonacute pilonidal sinus disorders.

METHODS

Seventy consecutive patients who underwent a cleft lift for nonacute pilonidal sinus were evaluated prospectively. Responses to a postal questionnaire were analyzed for long-term outcome.

RESULTS

All patients who fulfilled the criteria for day-case were operated on as such. Sixty-six patients achieved complete wound healing within six weeks. Delayed wound healing occurred in three patients and nonhealing occurred in one. Fourteen patients had one or more complications: wound breakdown, superficial (n = 7) and deep (n = 1); wound infection (n = 5); wound seroma (n = 4); and early recurrence (n = 1). The median time off work and to return to normal activities was two and four weeks, respectively (range, 0.5-12). Forty-seven patients completed the questionnaire at a median follow-up of 24 months: five patients reported minimal tenderness in the sacral region; none reported recurrence of pilonidal symptoms; and all were satisfied.

CONCLUSIONS

The cleft lift procedure is easy to perform as a day-case procedure. It is associated with high rates of primary healing, durable low recurrence rates, and early functional recovery. This technique may be the procedure of choice in the surgical management of nonacute pilonidal disorders.

Authors+Show Affiliations

Department of General Surgery, York District Hospital, York, United Kingdom. aymonrazeq@yahoo.co.ukNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18470564

Citation

Abdelrazeq, Ayman S., et al. "Short-term and Long-term Outcomes of the Cleft Lift Procedure in the Management of Nonacute Pilonidal Disorders." Diseases of the Colon and Rectum, vol. 51, no. 7, 2008, pp. 1100-6.
Abdelrazeq AS, Rahman M, Botterill ID, et al. Short-term and long-term outcomes of the cleft lift procedure in the management of nonacute pilonidal disorders. Dis Colon Rectum. 2008;51(7):1100-6.
Abdelrazeq, A. S., Rahman, M., Botterill, I. D., & Alexander, D. J. (2008). Short-term and long-term outcomes of the cleft lift procedure in the management of nonacute pilonidal disorders. Diseases of the Colon and Rectum, 51(7), pp. 1100-6. doi:10.1007/s10350-008-9262-z.
Abdelrazeq AS, et al. Short-term and Long-term Outcomes of the Cleft Lift Procedure in the Management of Nonacute Pilonidal Disorders. Dis Colon Rectum. 2008;51(7):1100-6. PubMed PMID: 18470564.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short-term and long-term outcomes of the cleft lift procedure in the management of nonacute pilonidal disorders. AU - Abdelrazeq,Ayman S, AU - Rahman,Mujeeb, AU - Botterill,Ian D, AU - Alexander,David J, Y1 - 2008/05/10/ PY - 2007/05/20/received PY - 2007/11/18/accepted PY - 2007/10/20/revised PY - 2008/5/13/pubmed PY - 2008/7/18/medline PY - 2008/5/13/entrez SP - 1100 EP - 6 JF - Diseases of the colon and rectum JO - Dis. Colon Rectum VL - 51 IS - 7 N2 - PURPOSE: We report the results of the cleft lift procedure in the management of nonacute pilonidal sinus disorders. METHODS: Seventy consecutive patients who underwent a cleft lift for nonacute pilonidal sinus were evaluated prospectively. Responses to a postal questionnaire were analyzed for long-term outcome. RESULTS: All patients who fulfilled the criteria for day-case were operated on as such. Sixty-six patients achieved complete wound healing within six weeks. Delayed wound healing occurred in three patients and nonhealing occurred in one. Fourteen patients had one or more complications: wound breakdown, superficial (n = 7) and deep (n = 1); wound infection (n = 5); wound seroma (n = 4); and early recurrence (n = 1). The median time off work and to return to normal activities was two and four weeks, respectively (range, 0.5-12). Forty-seven patients completed the questionnaire at a median follow-up of 24 months: five patients reported minimal tenderness in the sacral region; none reported recurrence of pilonidal symptoms; and all were satisfied. CONCLUSIONS: The cleft lift procedure is easy to perform as a day-case procedure. It is associated with high rates of primary healing, durable low recurrence rates, and early functional recovery. This technique may be the procedure of choice in the surgical management of nonacute pilonidal disorders. SN - 1530-0358 UR - https://www.unboundmedicine.com/medline/citation/18470564/Short_term_and_long_term_outcomes_of_the_cleft_lift_procedure_in_the_management_of_nonacute_pilonidal_disorders_ L2 - http://link.springer.com/article/10.1007/s10350-008-9262-z DB - PRIME DP - Unbound Medicine ER -