Rotation flap pilonidal sinus

Elliptical rotation flap for pilonidal sinu

All patients from 2009 until 2014 that underwent a complex pilonidal sinus excision followed by reconstruction with a flap (V-Y fasciocutaneous, rotational, or Romberg) were retrospectively reviewed. The decision to proceed with a flap repair of the defect was discussed between the operative surgeon and the patient prior to the operation when. 1. Rotational Flap: This is a relatively young but confident surgeon. I'm trying to avoid this as per Sasha's recommendation. I never had a surgery before and this is a very invasive surgery. I can fallback to this if other type of surgeries don't work for me. 2. Excision with midline suturing: I definitely don't want this The standard cleft lift markings are made along the left margin of the area of pilonidal disease. These markings include an advancement flap superiorly, and a rotation flap inferiorly. The rotation flap has the shape of a quarter circle and is centered on the anus . We start by elevating the advancement flap in the subcutaneous plane until the. An elliptical rotation flap has been used for pilonidal sinus treatment with no recurrence rate. METHODS: From April 1996 to June 2001, 20 patients were treated with this technique. The surgical procedure is a vertical elliptical excision of the diseased tissue and an elliptical cutaneous rotation flap to close the defect

One hundred and ten patients, with pilonidal sinus disease were treated with rhombic excision and Limberg transposition flaps. All sinus tracts were resected en bloc, and the fasciocutaneous Limberg flap was prepared from the gluteal region and closed it with a suction drain Rhomboid Flap for Pilonidal Disease/Sinus The Rhomboid flap for sacrococcygeal pilonidal sinus is useful and reproducible in terms of postoperative pain, infection rates, and early return to work with almost nil recurrences ​2​. It has also been described for the treatment of hidradenitis suppurativ Modified elliptical rotation flap is a new technique for the treatment of pilonidal sinus disease. It focuses on achieving off-midline suture lines and flattening the natal cleft, which are the most common causes of recurrences in pilonidal sinüs surgery. Short term results seem to have acceptable complication and low recurrence rates. 1 Shorter hospital stay, earlier healing, shorter time offwork, lower rates of recurrence, and lower pain percep-tion are the main advantages of flap techniques relative toexcision and closure in pilonidal sinus surgery. Altogether,these parameters add to patient comfort and satisfactionafter surgical treatment. Finally, we recommend the use ofmodified Limberg flap because its results were superior tothe other flap techniques

Elliptical rotation flap for pilonidal sinus - ScienceDirec

  1. N-shaped flap, pilonidal sinus, rotation flap INTRODUCTION P ilonidal sinus is an acquired condition usually seen in young adults that carries high postoperative morbidity and patient discomfort. The most important predisposing factors for the development of pilonidal sinus are the existence of a deep natal cleft an
  2. Background: Pilonidal sinus is a common disease frequently encountered in the outpatient department. We are presenting our clinical outcomes with excision of the sinus followed by a local flap procedure, Mohan's rotation and advancement flap for its reconstruction
  3. The Limberg flap works well if sutures are positioned out of the cleft. Rotation flaps loosen the entire buttock and rotate it to move tissue into the midline cavity. Z-plasty loosens triangular flaps on each side of the midline to fill the cavity, with points of the flaps toward the head and foot
  4. The optimal treatment for pilonidal sinus disease still has no consensus. The elliptical rotation flap was first described by Nessar in the surgery of pilonidal sinus and reported successful results, but it has weak points. The purpose of this study was to share the findings of the fasciocutaneous elliptic rotation flap technique retrospectively
  5. Rhomboid flap This is a complex procedure for recurrent pilonidal sinus disease and involves the excision of the midline pilonidal sinus cavity in a diamond fashion, with skin closure achieved by a rotation skin flap. Rhomboid Flap Repair for recurrent Pilonidal Sinus - Englis
  6. -Y rotation flaps for coverage of the defects after excision and debridement of chronic pilonidal sinuses in eight patients. The results were evaluated and compared with previously reported studies regarding the grade of disease at presentation, duration of surgery, blood loss, hospitalization period and active mobilization periods, complications, and loss of sensitivity. Results: No major.

Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. The aim of this study was to evaluate the short-term results of modified elliptical rotation flap (MERF) for pilonidal sinus disease in terms of post-operative complications, recurrence and quality of life Rotational Flap Surgery TODAY. Hi y'all! Long time reader first time poster. Just wanted to share my experience and possibly help out those still struggling with their pilonidal cyst (as this was a great resource at my time of need). First developed my cyst maybe in 2015 when I was a lifeguard, sitting a lot, and I was sweating Many surgical treatment options are available given by Hodges in 1880.1 The pilonidal sinus is a for pilonidal sinus disease like excision, excision with disease of natal cleft with a tract lined by epithelial cells VAC (vacuum assisted closure) midline closure, mostly containing tuft of hairs situated in the marsupialisation, off the midline closure using various sacroccocygeal region Background Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. The aim of this study was to evaluate the short‐term results of modified elliptical rotation flap (MERF) for pilonidal sinus disease in terms of post‐operative complications, recurrence and quality of life. Method Data of 121 patients (10. Background Pilonidal sinus disease is a common infectious process that occurs on the natal cleft and sacrococcygeal part. The treatment of pilonidal sinus disease remains challenging and despite the existence of many non‐surgical and surgical methods, there is no consensus for the best treatment for this disease

A new flap technique to treat pilonidal sinu

  1. After resection of the pilonidal cyst and the sinus tracts (Figure 3(a)), a relaxation incision was made by incising the gluteus muscle fascia vertically on either side, which allowed rotation of the skin and the underlying tissue for tension-free primary closure. A closed suction drain was inserted in the cavity
  2. Objectives. Sacrococcygeal pilonidal sinus is a common disease especially in the Caucasians of the Middle East. It has been reported in the incidence of 12-26 in a 100.000 population. Previously thought to be due to etiological reasons of congenital origin, it is now widely accepted as an acquired disease. The optimal treatment for pilonidal.
  3. N-shaped flap, pilonidal sinus, rotation flap INTRODUCTION P ilonidal sinus is an acquired condition usually seen in young adults that carries high postoperative morbidity and patient discomfort. The most important predisposing factors for the development of pilonidal sinus are the existence of a deep natal cleft an
  4. described a new technique called elliptical rotation ap [4]. During the past 10 years, we have seen lots of pilonidal sinus recurrences treated with various ap techniques (Figures 1-3). Infact, most of the problems were not real recurrence. Wound break down a er ap coverage of the defect wa

(PDF) Elliptical rotation flap for pilonidal sinus

Fasciocutaneous Elliptical Rotation Flap for Pilonidal

Rotational Flap Surgery for Pilonidal Sinus - YouTub

Sacrococcygeal pilonidal disease, squamous cell carcinoma, rotational flap Introduction. Pilonidal disease is a chronic inflammatory disorder that mainly affects Caucasians between 15 and 40 years of age, rarely over the age of 50 [1]. It is of male predominance and is believed to be an acquired infection of natal cleft hair follicles, that. In most patients, definitive treatment of interdigital pilonidal sinus requires surgical excision of the sinus tract. 1-4 In a recent study, in which excision and rotational flap repair were used, the investigators found that conservative management was relatively ineffective and concluded that surgery was the preferred treatment. 4 In pilonidal sinus the surgical modality was fashioned according to the extent of the disease keeping in mind the number of sinus opening in form of Limberg flap (44.2%), primary closure (19.6%), or laid open to heal by secondary intention (17%). Recurrence of pilonidal sinus was seen in 2.2% and not affected by the procedure employed (P = 0.4) Pilonidal sinus: Experience with the Karydakis flap Pilonidal sinus: Experience with the Karydakis flap Schoeller, T.; Wechselberger, G.; Otto, A.; Papp, C.; Kitchen, P. R. B. 1997-06-01 00:00:00 problems as in patients with hepatocellular carcinoma, as resectability may be difficult to assess and it requires, in addition to liver resection.

Pilonidal sinus - challenges and solutions Ali Guner, Arif Burak Cekic Department of General Surgery, Karadeniz Technical University, Farabi Hospital, Trabzon, Turkey Abstract: Although it is clinically asymptomatic in some cases, pilonidal sinus disease may also present as a complicated disease, characterized by multiple sinus tracts, leading to severe impairment of patient quality of life The treatment of pilonidal disease is varied and depends on the severity of presentation. Treatments can include a period of antibiotics, incision and drainage, excision and packing, sinus tract excision (pit picking, and rotation flaps (eg the Bascom Cleft Lift). An excellent online resource for patients is the Pilonidal Support.

Flap repair of complex pilonidal sinus: a single

Laser Assisted Endoscopic Pilonidal Sinus Treatment (LA-EPSiT) is an exclusive treatment of choice at our clinic for most of our Pilonidal Cyst patients, it is the combination of the Aji Procedure with the Endoscopic tools that makes it so effective and popular. 95% of patients enjoy a permanent cure after LA-EPSiT without missing one day of. Randomized comparison of Limberg flap versus modified primary closure for the treatment of pilonidal disease. Am J Surg. 2010;200(1):9-14. 4. Nessar G. Recurrence problem of the flap techniques used for pilonidal sinus treatment. Clin Surg. 2020;5:1-2. 5. Nessar G, Kayaalp C, Seven C. Elliptical rotation flap for pilonidal sinüs sinus tract had to stay for a longer time in hospital due to presence of an open wound. pilonidal sinus disease with Limberg flap repair. Tech Patients with simple excision technique had to stay away from resuming their work/routine for a longer period as the wound takes more time to heal by secondary intention Objective This study is a report on 700 consecutive patients treated with the Bascom cleft lift as treatment for both simple and complex pilonidal diseases between 1993 and 2020. Patients and methods The Bascom cleft lift was used in patients with primary disease, recurrent disease, perianal disease, and failed flap procedures. Some technical modifications had to be made to accommodate.

In this review, we summarized the general characteristics of pilonidal sinus disease and details of rhomboid flap (RF) technique used in its treatment, and discussed the results of RF methods and its comparison with other techniques, principally with flap technique available in the literature. When performed studies are examined, RF technique has come into prominence nowadays with low. We successfully treated chronic pilonidal sinus with a new flap technique {N-shaped bilateral rotation flap} for closure of the defect. Materials and Methods: Thirty-two patients (30 men and two women) were treated by eccentric elliptical excision of the diseased tissues down to the postsacral fascia and closure of the defect with our. Patients who have failed conservative measures or standard surgical procedures may require excision of the pilonidal sinus combined with a flap closure and modification of the midline natal cleft. Surgical Approaches. Rhomboid Flap. The rhomboid flap (also called Limberg) is a cutaneous rotational flap used to fill the soft tissue defect (Fig. Pilonidal cystectomy is the surgical removal of a pilonidal cyst or tracts extending from a sinus. It may range from a simple procedure that involves excision of a small amount of tissue to a very complex procedure that may include allowing the wound to heal secondarily or rotating adjacent tissues into the defect after excision In 11772, the sinus involves manysubcutaneous extensions superficial to the fascia overlying the sacrum. The physician uses a scalpel to completely excise the cystic tissue. Local soft tissue flaps (i.e., Z-plasty, Y-V plasty, myofasciocutaneous flap) may be required for closure of a large defect or the wound may be left open to heal by.

Objective To evaluate crystallized phenol application and the Karydakis flap procedure in terms of treatment success, postoperative complications, and recurrence in the treatment of pilonidal sinus disease (PSD). Materials and methods The study included patients who underwent the Karydakis flap procedure and crystallized phenol application with the diagnosis of PSD in our clinic between June. INTRODUCTION. Pilonidal sinus (PNS) is a common recurrent chronic inflammatory disease. It affects about 0.7% of population, 1 and it leads to work intolerance, as it has a very high recurrence rate. 2 The exact etiology of the disease is still unknown. The most accepted theory postulated that PNS is an acquired condition characterized by infected sinus in the natal cleft area containing a. Background . The management of complex pilonidal sinus disease (PSD) with multiple pits on and beside the natal cleft is variable, contentious, and problematic. Wide excision of the sinus and reconstruction of the defect using different flap techniques have become more popular in recent years. Case Report . We report a case with a complex chronic PSD to which we applied primary closure after S.

Introduction. Chronic pilonidal sinus (PNS) is a common disorder that affects mainly young adults. Due to different hair characteristics and growth patterns, PNS has a higher incidence in some countries, particularly in the Middle East and Gulf region. 1 Some theories suggested that it results from the invasion of fallen hair into the skin. 2 It can be asymptomatic or presented by discomfort. Pilonidal sinus treatment includes various surgical and minimally invasive procedures, but there is still no standard treatment. Flap reconstructions and minimally invasive treatment options such as crystallized phenol application have recently been in the center of interest. The aim of this study is to compare crystallized phenol application as a minimally invasive treatment with modified. Pilonidal cysts are sacs filled with hair and skin debris that form at the top of the crease of the buttocks above the sacrum.A painful abscess can form if the cyst and the overlying skin become infected.; Pilonidal cysts are caused by groups of hairs and debris trapped in the pores of the skin in the upper cleft of the buttock, forming an abscess A simple novel technique for closure of simple and complex pilonidal sinus with either simple (tongue-shaped) or bilobed rotation flap . By Awad Mohamed, Saad Khaled, Tolba Adel and Gharib Osama. Abstrac Pilonidal Disease 4 Pilonidal Disease. pilonidal cyst - misnomer as it is more appropriately a sinus ; pilonidal means hair nest ; first described in 1833 by Mayo; 5 Corman moment. in WWII, pilonidal disease hospitalized 79,000 soldiers for an average hospital stay of 55 days ; such a problem that Surgeon General forbade wide local excision as.

Rotational flap or Open Healing? Pilonidal Support Forum

Limberg rotation flap (p<0.05, 4 vs 1 ; 2 vs 0). Pilonidal sinus is a condition found in the skin of the natal cleft, a short distance behind the anus, consisting of one or more pits that communicate with a fibrous epithelial tract and generally contains hai unilateral V-Y rotation advancement flap, the corresponding dis - tance would be 4 cm. Case series Twenty-one patients were operated on with the help of the tem-plate. The causes of the defects were meningocele (n=3), a de-cubitus ulcer (n=5), pilonidal sinus (n=3), and excision of a skin tumor (n=10). The patients with meningocele wer A personal series of 141 patients with postanal pilonidal sinus was treated by the Karydakis operation. Each sinus was totally excised with a vertical eccentric elliptical excision. A thick flap was created by undercutting the medial edge and advancing it across the midline so that the whole suture line was lateralized to reduce the risk of recurrence Pilonidal cysts are a common and chronic disorder caused by the migration of loose hairs and cellular debris into the intergluteal cleft. These cysts Flap repair of complex pilonidal sinus: a single institution experience | springermedizin.d Pilonidal sinus disease (PSD) is a common problem in young adults and particularly in males with a deep natal or intergluteal cleft and coarse body hair. An approach to an individual with PSD includes the assessment of pain, activities of daily living, the pilonidal sinus, and natal cleft. Local wound care includes th

For unknown reasons, the incidence of pilonidal sinus disease (PSD) has risen continuously during the past 50 years, particularly in European and North American young men 1,2.In a German military. pilonidal abscess.10 The midline pits communicate with chronic abscesses containing trapped hair and debris via sinus tracts. If these sinus tracts become epithelialized, excision is the only option for cure. Presently, the ideas of Bascom and others about the pathogenesis of pilonidal disease are based on empiric evidence

Practical Management of Pilonidal Disease : Plastic and

Sacrococcygeal pilonidal sinus disease (SPD) is a relatively common condition that usually af fects young, healthy underwent Limberg flap rotation with or without suction drainage.19Different series have reported wound infection rates of 1.5-7%.15,18In the present study, it was 8% with Limberg flap (group B) whereas in those patients who. To determine the clinical and demographic profile of pilonidal sinus disease. To compare Limberg flap rotation surgery and closure by Z-plasty, on the basis of outcome, in terms of recurrence upto 6 months of follow up and duration of hospital stay Objectives: To study the advantages of rhomboid excision and Limberg flap in pilonidal sinus disease Material and Methods: It was the prospective study of 25 patients who were diagnosed to have pilonidal sinus (primary or recurrent). All the patients included in the study underwent rhomboid excision and Limberg flap by the same team a) Z plasty- for pilonidal sinus, lengthening scars b) Rotational flap- for gluteal region, scalp, buttocks, deltoid area c) Rhomboidal flap- cheek, temporal, back & flat surface defect

Video: Elliptical rotation flap for pilonidal sinus

Rhomboid Flap - Indications, Design, Example

flap rotation, compared to the Limberg flap, and adequate survival from vascularity from sub-dermal plexus.27,28 Rhomboid Flaps for Pilonidal Sinus Surgery The Limberg flap has shown to be one of the quickest and least complicated treatments for wound healing in pilonidal sinus surgery.29,30 Through placement of the most inferior angl The Bascom Cleft-Lift (aka Cleft-Lift or Cleft Closure) Dr Bascom coined the term cleft-lift for his rotation flap operation. Originally, Dr Bascom called it a cleft closure, but he changed the name because he felt the cleft-lift terminology was better accepted by patients. Dr Bascom described this procedure in 1987 Objectives: Different surgical techniques, with variable morbidity and recurrence rates, have been advocated for the management of chronic pilonidal sinus (PNS). This study was conducted to report the outcome of surgical treatment of 634 cases of chronic PNS at a single institute between January 2001 and January 2010. Methods: Karydakis flap was performed in 244 patients (38.5%, Group 1)

Comparison of modified limberg flap and modified

rhombus including the pilonidal sinus and the flap line is marked on skin using a sterile skin-marking pen. Under the guidance of methylene blue, the rhombus is excised down to the pre-sacral fascia and fascio-cutaneous flap is transposed medially so that the defect is closed without tension. Th There are many different flaps described in the treatment of pilonidal sinus including, Karydakis flap, Z-plasty, Limberg flap, W-plasty, Limberg flap, rotation flap, gluteus maximus musculo-cutaneous flap, sacral adipo-fascial turn-over flap, V-Y fascio-cutaneous advancement flap and skin flap of the cleft lift procedure [2] [3] [9] [11] [12] The history of sacrococcygeal pilonidal sinus disease (PSD) began in the early 19th century. The disease was first reported by Herbert Mayo in 1833 and first defined as pilonidal sinus by Richard Manning Hodges in 1880.1 It is common, particularly in young adults Elliptical rotation flap for pilonidal sinus was published by Nasser et al., in 2003 A random pattern flap based on the subdermal plexus allows elevation of an elliptical-shaped flap of skin and subcutaneous tissue with a length to width ratio in the range of 2 to 1.5:1. Although limited in reach, this random pattern flap can be elevated and.

Varies: Depends on if the surgery was a simple excision, wound sutured closed or left open, or if a rotation skin flap was performed. May take 1-3 weeks to heal. Keep the area clean and dry. Follow the surgeon's instructions if there is wound packing to be changed. Protect from repeated direct trauma such as sitting on a hard bouncing bicycle seat Asymmetrical excision of pilonidal sinus and lateral closure of flap secured to sacrococcygeal fascia. Wound separation and delayed wound healing. Limberg flap. Rhomboid excision of pilonidal tissue using closure with a rotational fasciocutaneous flap. Surgical site infections and wound separation Jan 8th, 2013 - koatsj 160. re: Recurrent pilonidal cyst. You would bill 11772---the lay description is-In 11772, the sinus is more complicated and has many subcutaneous extensions. The physician uses a scalpel to completely excise the involved tissue. Local soft tissue flaps (i.e., Z-plasty) may be required for closure of a large defect or the.

Does closure of chronic pilonidal sinus still remain a

Rotational flap (gluteus maximus myocutaneous flap) Atalay S, Bat O, Bulut NE, Mantoglu B, et al. Modified Limberg transposition flap in the treatment of pilonidal sinus disease 430 FREE GRAFT REPAIR IN PILONIDAL SINUS By D. WYNNWILLIAMS, M.S.(Lond.), F.R.C.S. Plastic Surgery andJ'aw Injuries Centre, Queen Victoria Hospital, East Grinstead, Sussex The problem of satisfactory treatment of the pilonidal sinus is so well-known as to require no further justification for reporting a method of repair only briefly mentioned in the literature Our study analyzes the efficiency of rhomboid excision of sinus and its tract, and reconstruction with Limberg flap in the management of pilonidal sinus disease. Materials and Methods: From July 2013 to May 2015, 46 patients were operated for pilonidal sinus disease by rhomboid excision Limberg flap reconstruction in two surgical units It is also called pit picking, or Bascom's Simple Surgery , or the Bascom I Procedure, and is in the category of minimally invasive pilonidal operations. The Bascom Cleft-Lift (aka Cleft-Lift or Cleft Closure) Dr Bascom coined the term cleft-lift for his rotation flap operation. Originally, Dr Bascom called.

pilonidal sinus. Asymmetrical excision created a flap, which is preferably pulled past the natal cleft to the controlateral side. After inserting a drain, the wound was sutured. In order to achieve uniformity, all operations were performed per hospital protocol. Standard post-operative antibiotic treatment was a pre (I'm getting the Limberg Flap surgery ) how did you first transport home? Are you so medded up you can actually sit? Rest? Did you just lay on your stomach the entire time? Are you able to lay on your back? How the heck do you use the bathroom? Can you walk up and down stairs? How does the draining of the fluids work OBJECTIVE: Sacrococcygeal pilonidal sinus is common in young men and may recur over time after surgery. We investigated whether a factor exists that can aid in the determination of the preferred technique between the early Limberg flap and Karydakis flap techniques for treating recurrent pilonidal sinus In this article one of the alternatives to remove and primary repair of sacrococcygeal pilonidal sinus called Dufourmentels technique (described by Claude Dufourmentel in 1962) (Manterola et al.; Yabanoglu et al., 2014), a modification of the Limberg rhomboid flap (described by Alexander Limberg and published in 1963) (Aydin et al., 2011.

Meta-analysis Forest plot of the relative risk of

Efficacy of a new surgical technique: Mohan's flap for

The operation site was cleaned with 10% povidone-iodine. All sinus tracts were resected en bloc via elliptical incision down to presacral fascia with meticulous hemostasis.Open procedure involved a wide excision of the pilonidal sinus tract and healing by secondary intention A pilonidal cyst is a sac under the skin at the base of the spine. It can become infected. When it does the physician will use a scalpel to excise the adjacent tissue. Code selection is based on whether the excision of the cyst is simple, extensive, or complicated. A simple excision (11770 Excision of pilonidal cyst or sinus; simple) is closed. Abstract. Management of pilonidal sinus is frequently unsatisfactory. No method satisfies all requirements for the ideal treatment - quick healing, no hospita The Limberg flap is one of the transposition flap used after the excision of pilonidal sinus. It has proven efficacy in the management of both primary and recurrent disease. 17 Quick healing time, short hospital stay, early return to daily life, low complication and recurrence rate are the important advantages of the Limberg flap procedure. 2,1 Pilonidal disease refers to an acute abscess or chronic draining sinus in the sacrococcygeal area. (See also the American Society of Colon and Rectal Surgeons' clinical practice guidelines for the management of pilonidal disease.) Larger cysts may require a rotation flap to close the defect

Excision Treatments - Pilonidal Support Allianc

Barber's syndrome is an interdigital plenoidal sinus that occurs in barbers as an occupational disease. , Penetration of the epidermis with short and hard hairs leads to sinus formation, hair accumulation triggers infection and discharge through sinus which can contain hairs can be seen In addition, the natal cleft may satisfactorily be flattened by Karydakis procedure. The present study was done to study Karydakis flap reconstruction as a treatment of symptomatic pilonidal sinus disease and to compare Karydakis flap reconstruction and double Z-plasty as a treatment of symptomatic pilonidal sinus disease

A prospective randomized trial comparing modified Limberg

Hidradenitits suppurativa. This is a condition much like acne, except that instead of affecting the face, it affects moist crevices in hair bearing areas, with the axilla and perianal region sometimes affected. When involving the perianal region, it should not be confused for a pilonidal sinus, which is an abscess in the midline buttock crease The limberg flap reconstruction - the optimal surgery for pilonidal sinus disease Ramu Shapur Srihari, Appaji Mandya Naveen, Harinatha Sreekar; Affiliations Ramu Shapur Srihari Department of General Surgery, Consultant, Plastic and Reconstructive Surgery, MVJ Medical College and RH, Hosakote, Bangalore, India.

fat free dermal skin flap plugging high perianal fistul

Pilonidal Sinus Repair Colorectal Surgeons Sydne

Thieme E-Books & E-Journal Pilonidal Sinus Treatment Center in Nagpur Lotus Hospital Nagpur is the best hospital in Nagpur for pilonidal sinus treatment, pilonidal sinus laser treatment, and pilonidal cyst treatment. Dr Kanhaiya Chandak is the best surgeon for pilonidal sinus in Nagpur known to perform non-surgical treatment for Pilonidal sinus. Lotus Hospital is famous for laser treatments and conventional treatments Excision Of Pilonidal Sinus(GS67) Goregaon (Mumbai), EXCISION OF PILONIDAL SINUS WITH PRIMARY CLOSURE AT SHRI SAI CLINIC HOSPITAL MUMBAI Shri Sai Clinic is a Multispecialty.

The use of rhomboid excision and closure of the defect with a gluteal transposition flap, the so-called Limberg flap, has gained growing attention in the recent year as a means to manage complicated or recurrent pilonidal sinus disease a. any bodily cavity or hollow space. b. a large channel for venous blood, esp between the brain and the skull. c. any of the air cavities in the cranial bones. 2. Pathol a passage leading to a cavity containing pus. 3. Botany a small rounded notch between two lobes of a leaf, petal, etc. 4. an irregularly shaped cavity Get in Touch. B-307, Rudra Arcade, B/sd. May Flower Hospital, Helmet Cross Roads, Memnagar, Ahmedabad - 380 052. +91 - 79 - 2749 030

Malignancy in pilonidal disease: Uncommon occurrence Goyal(PDF) Modified Limberg Flap for Pilonidal SinusRhomboid flap : Vidbb