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Erschienen in:
01.12.2014 | Original Article
Is the cleft lift procedure for non-acute sacrococcygeal pilonidal disease a definitive treatment? Long-term outcomes in 74 patients
Erschienen in: Surgery Today | Ausgabe 12/2014
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Purpose
No definitive surgical treatment for non-acute pilonidal disease has been established thus far. We herein report the short-term and long-term outcomes of 74 consecutive patients who underwent the cleft lift procedure for non-acute pilonidal disease.
Methods
A total of 74 consecutive patients who underwent the cleft lift procedure for the treatment of non-acute pilonidal disease were evaluated.
Results
Complete healing was achieved in 54 patients (73 %). Wound seroma was observed in 12 patients (15 %) in the first week, and this persisted until the second week in 10 patients (13 %). Partial dehiscence was found in eight patients (11 %). One patient presented with complete wound dehiscence (1 %), and another experienced early postoperative bleeding (1 %). Wound infection was observed in one patient (1 %). The median follow-up period was 51.5 months (range 15–88 months). Three cases of recurrences were observed, which occurred after 51, 42 and 12 months of follow-up.
Conclusions
If longer-term follow-up is achieved, definitive conclusions may be obtained. However, the present results suggest that the cleft lift procedure may become the gold standard technique for the surgical management of non-acute pilonidal disease.