10 jan, 2017

MANAGEMENT OF FLAP DEHISCENCE AFTER LıMBERG PROCEDURE FOR RECURRENT PıLONıDAL DıSEASE BY NEGATıVE PRESSURE WOUND THERAPY (NPWT)

Sukru TAS
Omer Faruk OZKAN
Muzaffer Muazzez OCAKLI
Emrah ARSLAN
Asli KIRAZ
Muammer KARAAYVAZ
DOI: 10.1590/0102-6720201700010021
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INTRODUCTION

Sacrococcygeal pilonidal disease is a common inflammatory process affecting young adults. This is mostly seen in sacrococcygeal region. There are multiple factors, which can basically be divided into mainly two, as congenital (such as a result of fusion failure, deeper localized natal cleft) and acquired (such as local infection) factors1,8. Non-operative and operative strategies are mainly used in management. Local flap use is accepted as the favorite surgical closure method with high success rates, once the lesion is excised. On the other hand, surgical approach occasionally may fail and so several complications are seen such as infection, hemorrhage and flap dehiscence1,4.

When a complication occurs, a precise wound care is needed to manage the wound properly. Herein we present a case with flap dehiscence and infection following a local flap closure in the management of a recurrence of a pilonidal disease usıng a negative pressure wound therapy (NPWT).


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SIGA-NOS!
ABCD – ARQUIVOS BRASILEIROS de CIRURGIA DIGESTIVA é periódico com um único volume anual em sistema de publicação continua, órgão oficial do Colégio Brasileiro de Cirurgia Digestiva – CBCD.

Desenvolvido por Surya MKT