45 year old man had pilonidal disease since his early 20s. His first operation was 23 years ago and he has had multiple procedures since. His natal cleft was often painful and discharged pus frequently. He had multiple pits and hard indurated tissue in the natal cleft.
To cure the recurrent disease, radical excision of the affected area and coverage of the defect with a rhomboid flap was performed.
First the flap is marked out on the skin
The rhomboid flap is mobilized and sutured in place.
The patient was kept in for 2 days nursed on his side or prone.
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so i see that skin area is remove totally?
ReplyDeleteI dont really understand whats the meaning of pilonidal disease and why this procedure is undertaken?
pilonidal literally means nest of hair. pits form in the skin of the natal cleft which become filled with hair and other debris especially in people with dark thick hair. This debris often gets infected causing pain, abscesses, discharge and further tracks to develop. This procedure was performed because there was ongiong and frequent dischage and pain, generally making the patients life a misery.
ReplyDeletejon,
ReplyDeleteKeep writing everyday. I'll help out to promote your blog as it is very informative.
By the way, looking at the last picture, it looks very asymmetrical. What does the patient feels?
Thanks for your support fatehsaleh.
ReplyDeleteThe patient feels a bit uncomfortable for the first couple of days but there is as little tension as possible on the flap.
Jon
out of interest what technique was employed in his previous operations?
ReplyDeletei.e was he a bascom?
He'd had the works: wide excision with and without primary closure, what was described as a bascoms although the notes unclear and a couple of I+d for abscesses.
ReplyDeleteWould you have done a flap or something else?
hi
ReplyDeleteHi Megan - did you have a question or comment?
ReplyDeleteThis operation is very painful truth would rather not see the pictures, but I hope that after the surgical intervention, is healthy.,maybe you can Buy Cialis for pain
ReplyDelete