Bülent MENTEŞ, Selahattin ÖZMEN, Fulya FINDIKÇIOĞLU, Sebahattin KANDAL

Superior gluteral artery perforator flap: An alternative in the treatment of complicated pilonidal sinus

Giriş: Sakrokoksigeal pilonidal sinüslerin birçoğu basit cerrahi tekniklerle tedavi edilebilmesine rağmen bazı olgular tedaviye oldukça dirençlidirler. Olgu Sunumu: Bu çalışmada, son 4 yılda çeşitli tedavilere rağmen iyileşmeyen pilonidal sinus şikayetiyle başvuran 18 yaşında bir erkek hastayı sunduk. Tüm sinüslerin geniş bir şekilde eksizyonunu takiben hastanın sol tarafından hazırlanan superior gluteal arter pediküllü perforator flebi ile de-fekt onarıldı. Bulgular: Postoperatif dönemde komplikasyon olmadı. Hastanın 12 aylık takiplerinde bir sorun saptanmadı. Sonuç: Superior gluteal arter perforator flebi sakrokoksigeal pilonidal sinüslerin tedavisi için ilk tercih değildir. Ancak, tekrarlayan, dirençli, geniş ve özellikle vertikal boyu uzun olguların tedavisi için uygun patofızyolojik bir çözüm sağlayabilir.

Superior gluteal arter perforator flebi: Komplike pilonidal sinüs tedavisinde bir alternatif

Purpose: Although the majority of sacrococcygeal pilonidal sinuses can be treated with simple surgical procedures, some persistent cases are encountered. Materials and Methods: This article describes an 18-year-old male who presented with chronic pilonidal sinus disease, which was resistant to different treatment modalities applied over the previous four years. He was treated with a superior gluteal artery pedicled perforator flap from the left hip after complete excision of all the sinuses. Results: No complication was observed during the postoperative period. The patient was healthy and no recurrence was observed during the 12-month follow-up period. Conclusion: The superior gluteal artery perforator flap is not the first choice for treating sacrococcygeal pilonidal sinuses; however, it provides a reliable pathophysiological solution for the surgical reconstruction of recurrent, obstinate, wide and especially long pilonidal sinus cases.

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