Seminars in Colon and Rectal Surgery最新文献_第7页

Rectal intussusception: Medical management and timing of the decision to operate 直肠肠套叠:医疗管理和手术时机的决定。

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2023-03-01 DOI: 10.1016/j.scrs.2022.100940

Leila Neshatian MD, MSc, Emma Victoria Carrington PhD

引用次数: 0

The Cleft Lift procedure for pilonidal disease renamed as a rotation and advancement flap procedure (RAF): Insights and technical tips for a successful outcome 针对毛鞘疾病的裂口提升手术更名为旋转和推进皮瓣手术(RAF):成功结果的见解和技术提示

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100913

Jeffrey A. Sternberg MD

{"title":"The Cleft Lift procedure for pilonidal disease renamed as a rotation and advancement flap procedure (RAF): Insights and technical tips for a successful outcome","authors":"Jeffrey A. Sternberg MD","doi":"10.1016/j.scrs.2022.100913","DOIUrl":"10.1016/j.scrs.2022.100913","url":null,"abstract":"<div><h3>Introduction</h3><p>The Cleft Lift procedure originally named by Bascom is a derivative of the Karydakis flap procedure for pilonidal sinus disease. The terminology and variations of the name have long confused surgeons and have limited its wide adoption.</p></div><div><h3>Technique</h3><p>This technical paper deconstructs the confusing terminology, suggests simple steps for success, and proposes a more descriptive name for the asymmetric flap procedure which has the lowest reported recurrences for all surgical options for pilonidal disease.</p></div><div><h3>Results</h3><p>The author has successfully performed the Cleft Lift procedure for pilonidal disease since 2000. In the last consecutive 757 patients treated over 12 years, only 6 patients have required a second operation. This cohort included 287 patients referred with recurrent disease or open wounds from prior pilonidal surgery. A new naming scheme is proposed that more accurately describes the operation. The proposed name is the pilonidal RAF procedure for rotation (around the anus) and advancement (across the natal cleft midline) flap .</p></div><div><h3>Conclusions</h3><p>The pilonidal RAF procedure is highly successful in treating pilonidal sinus disease with a very low need for additional surgery even in complex recurrent disease.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100913"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1043148922000549/pdfft?md5=18e30b479df959836a80e00fb014a2a2&pid=1-s2.0-S1043148922000549-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45974169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Pilonidal disease surgery in the pediatric patient: less is more! 小儿小儿毛囊病手术:少即是多!

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100911

Mary Froehlich MD , Justin P. Wagner MD , Steven L. Lee MD, MBA

引用次数: 1

The minimally invasive approach to the treatment of pilonidal disease 微创方法治疗毛滴虫病

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100918

Veronica De Simone MD , Carlo Ratto MD

引用次数: 0

Introduction: In pursuit of the ideal treatment for pilonidal disease 简介:追求理想的治疗腋窝疾病

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100908

Maher A. Abbas MD

引用次数: 0

The Limberg flap repair for complex and recurrent pilonidal disease Limberg皮瓣修复复杂及复发性毛鞘病

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100915

Cihad Tatar MD, Emre Gorgun MD

引用次数: 0

Persistent pilonidal disease: What to do when your initial surgery fails? 持续性肾小球疾病:初次手术失败后该怎么办?

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100916

Francisco Sérgio Regadas MD, PhD , Sthela Murad-Regadas MD, PhD

引用次数: 0

Pilonidal disease in 2022: Where do we stand? 2022年的皮洛尼达尔病：我们的处境如何？

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100910

Fawaz Abdulraheem MD, Marylise Boutros MD

引用次数: 0

Pilonidal disease: A new look at an old disease 毛囊病:一种老病的新认识

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100909

Francis Seow-Choen MBBS , Isaac Seow-En MBBS, MMed

{"title":"Pilonidal disease: A new look at an old disease","authors":"Francis Seow-Choen MBBS , Isaac Seow-En MBBS, MMed","doi":"10.1016/j.scrs.2022.100909","DOIUrl":"10.1016/j.scrs.2022.100909","url":null,"abstract":"<div><p><span><span><span>Pilonidal disease<span> is a very common affliction that affects mainly young, hirsute, obese males during their young adult years of life. Previous etiological theories of this ailment<span> centred on congenital causes. The current understanding is that pilonidal disease is an acquired affliction. Some patients, however, may have confounding hereditary tendencies to form pilonidal disease. There is a myriad of methods of treatment for chronic pilonidal disease. Such treatments vary from the creation of large </span></span></span>skin flaps<span> to simple instillation of chemicals into the sinuses. No single technique is favoured by every surgeon and each technique has its ardent supporters. The current favoured treatments however, are toward the use of the less invasive options compared to the large extensive flaps. Favoured options include minimally invasive techniques as well as simple lay open and </span></span>marsupialisation. No proposed classification system for the assessment of severity of pilonidal disease has correlated disease severity with treatment options. Therefore, no classification system is in widespread use by the surgical community. Post-operative supportive management, especially in the early post-operative period, and laser hair </span>epilation after the initial healing phase, have some usefulness in the overall treatment of pilonidal disease.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100909"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49153172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Karydakis flap: How I do it 我是怎么做的

IF 0.3

Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100914

Peter Wysocki MBBS

{"title":"The Karydakis flap: How I do it","authors":"Peter Wysocki MBBS","doi":"10.1016/j.scrs.2022.100914","DOIUrl":"10.1016/j.scrs.2022.100914","url":null,"abstract":"<div><h3>Introduction</h3><p>Pilonidal sinus<span> disease is a chronic inflammatory condition typically found in the sacrococcygeal region<span>. It is caused by loose hair penetrating natal cleft skin. Treatment of symptomatic disease is surgical. There is a lack of consensus on the ideal surgical technique.</span></span></p></div><div><h3>Methods</h3><p>The Karydakis flap involves asymmetric excision of the disease and closing the wound off midline with a lipocutaneous flap to flatten the natal cleft. The procedure has evolved since its description in 1968 and currently entails two layered fat closure, thin flap, displacement of the caudal apex, avoidance of routine drainage and the use of absorbable skin sutures. Its design and execution remain straight forward with a short learning curve.</p></div><div><h3>Results</h3><p>Out of 1029 type 4 Karydakis flaps reviewed, 16% were complicated by wound dehiscence. Recurrence rate at a mean of 29 months follow-up was 1%.</p></div><div><h3>Discussion</h3><p>By achieving a scar which is totally away from the midline, the Karydakis flap achieves a low recurrence rate. Minimizing early superficial dehiscence of the caudal wound remains a surgical challenge. The flap is suitable for all types of pilonidal disease.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100914"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46445231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0