Cleft lift procedure for pilonidal disease: technique and perioperative management

Pilonidal disease is a common condition affecting young patients. It is often disruptive to their lifestyle due to recurrent abscesses or chronic wound drainage. The most common surgical treatment, “cystectomy,” removes useful tissue unnecessarily and does not address the etiology of the condition....

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Bibliographic Details
Published in:Techniques in coloproctology 2015-08, Vol.19 (8), p.477-482
Main Authors: Favuzza, J., Brand, M., Francescatti, A., Orkin, B.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Colorectal Surgery
Gastroenterology
How I Do It
Humans
Medicine
Medicine & Public Health
Pilonidal Sinus - surgery
Postoperative Complications
Proctology
Surgery
Surgical Flaps
Treatment Outcome
Wound Healing
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Summary:Pilonidal disease is a common condition affecting young patients. It is often disruptive to their lifestyle due to recurrent abscesses or chronic wound drainage. The most common surgical treatment, “cystectomy,” removes useful tissue unnecessarily and does not address the etiology of the condition. Herein, we describe the etiology of pilonidal disease and our technique for definitive management of pilonidal disease using the cleft lift procedure. In this paper, we present our method of performing the cleft lift procedure for pilonidal disease including perioperative management and surgical technique. We have used the cleft lift procedure in nearly 200 patients with pilonidal disease, in both primary and salvage procedures settings. It has been equally successful in both settings with a high rate of success. It results in a closed wound with relatively minimal discomfort and straightforward wound care. We have described our current approach to recurrent and complex pilonidal disease using the cleft lift procedure. Once learned, the cleft lift procedure is a straightforward and highly successful solution to a chronic and challenging condition.
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-015-1333-2