V-Y Plasty for Pilonidal Disease

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  • 毛巣洞に対するV-Y plastyの手技と成績

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Purpose: We report on cases of V-Y plasty for pilonidal disease. Method: Fourteen patients with pilonidal disease undergoing radical excision and reconstruction with V-Y plasty between 2006 and 2012 were examined retrospectively. Results: The mean age was 31.5 years old. All patients were men. The mean weight was 75.5 kg (63.4-92 kg). The mean Body Mass Index (BMI) was 26.0 kg/m2 and eight of the cases (57.1%) had a BMI of 25 kg/m2 or more. The mean operative time was 47.3 minutes. There were six cases with postoperative complications (42.9%). The postoperative complications were wound infection in five cases and wound defective granulation in one case. There were no serious complications including dermal flap necrosis. No postoperative recurrences have been found. Conclusions: V-Y plasty is a good operative method because the surgical procedure is easy and provides tension-free skin coverage. Additional cases need to be gathered.

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