A Case of Pilonidal Sinus Treated by Rhomboid Flap Plasty

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  • Rhomboid flap形成術が奏効した毛巣洞の1例

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<p>Pilonidal disease often occurs in men with a lot of hair in the midline of the sacrum, and complete resection of the sinus is necessary for radical surgery. However, simple excision sutures often open the wound because of the tension. Rhomboid flap plasty is a useful reconstruction method that allows the wound to be sutured without tension. The patient was a 34-year-old man. Swelling and pain had appeared in the sacral region 3 weeks previously. A ridge with a diameter of 3 cm was observed in the midline of the sacrum, and mild tenderness was observed. He was diagnosed with pilonidal sinus and was operated under spinal anesthesia. The skin incision was a rhombus shape including the lesion, and the lesion was completely resected so as not to damage it. A rhomboid flap was created on the left side of the excised site, dislocated to the defect site to avoid tension on the wound. Six months after the operation, the wound healing was good.</p>

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