Is the cleft lift procedure for non-acute sacrococcygeal pilonidal disease a definitive treatment? Long-term outcomes in 74 patients.

Abstract:

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.

journal_name

Surg Today

journal_title

Surgery today

authors

Ortega PM,Baixauli J,Arredondo J,Bellver M,Sánchez-Justicia C,Ocaña S,Hernández-Lizoain JL

doi

10.1007/s00595-014-0923-3

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

2318-23

issue

12

eissn

0941-1291

issn

1436-2813

journal_volume

44

pub_type

杂志文章
  • Pneumoretroperitoneum, pneumomediastinum, pneumopericardium, and subcutaneous emphysema complicating sigmoidoscopy: report of a case.

    abstract::An 80-year-old woman presented to our outpatient center with abdominal pain and blood-stained stools. She underwent a colonoscopy, which showed a 4-cm type II tumor in the rectum. About 2 h after the colonoscopy, mild facial edema and subcutaneous emphysema developed around her neck. A chest X-ray showed pneumopericar...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950300069

    authors: Ota H,Fujita S,Nakamura T,Tanaka S,Tono T,Murata Y,Tanaka N,Okajima S

    更新日期:2003-01-01 00:00:00

  • Closure of a perineal sinus connected with the small bowel developing after radical surgery for rectal carcinoma: a report of the operative procedures used in two cases.

    abstract::A technique for closure of a perineal sinus connected with the small bowel is described herein. One patient who underwent Miles' operation and another who underwent total pelvic exenteration for rectal carcinoma developed a perineal sinus through which a large amount of intestinal fluid was discharged. The pelvic orif...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00309506

    authors: Iida F,Adachi W

    更新日期:1993-01-01 00:00:00

  • Current status of conversion surgery for stage IV gastric cancer.

    abstract::Palliative chemotherapy with best supportive care is a mainstay for patients with gastric cancer (GC) and distant metastasis. However, with advances in GC chemotherapy, multimodal treatment, including perioperative chemotherapy plus conversion surgery, has attracted attention as a new strategy to improve the outcome o...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-020-02222-0

    authors: Kinoshita J,Yamaguchi T,Moriyama H,Fushida S

    更新日期:2021-01-23 00:00:00

  • Blunt rupture of the right hemi-diaphragm with complete dislocation of the right hepatic lobe: report of a case.

    abstract::We present herein a case of blunt rupture of the right hemidiaphragm occurring with complete intrathoracic dislocation of the right hepatic lobe in a polytraumatized patient. The initial chest X-ray was interpreted as right-sided hemothorax, and a thoracic drainage tube was accidentally placed into the liver. A comput...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950050240

    authors: Wirbel RJ,Mutschler W

    更新日期:1998-01-01 00:00:00

  • Resection of rectal cancer: a historical review.

    abstract::Local control of rectal cancer and patient survival have improved remarkably with advances in surgical techniques and adjuvant therapy. By applying advanced surgical principles, surgeons can now excise most rectal cancers completely, often preserving the anal sphincter and leaving the patient with relatively normal bo...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-009-4153-z

    authors: Inoue Y,Kusunoki M

    更新日期:2010-06-01 00:00:00

  • Current status of robot-assisted thoracoscopic surgery for lung cancer.

    abstract::The robotic surgical system was designed to overcome the drawbacks of conventional endoscopic surgery. Since national health insurance in Japan began covering robotic-assisted thoracoscopic surgery (RATS) for malignant lung and mediastinal tumors in 2018, the number of RATS procedures being performed domestically has ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-019-01793-x

    authors: Kanzaki M

    更新日期:2019-10-01 00:00:00

  • Importance of preoperative marking for minithoracotomy and for internal thoracic artery harvesting in minimally invasive direct coronary artery bypass grafting.

    abstract::Minimally invasive direct coronary artery bypass has the potential to cause an anastomotic failure because of a limited exposure of the operative field and the difficulty of internal thoracic artery harvesting. In the present study, the importance of preoperative marking for an accurate minithoracotomy location and a ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950050611

    authors: Hirata N,Ohtake S,Sawa Y,Yoshitatsu M,Kato H,Ohkubo N,Matsuda H

    更新日期:2000-01-01 00:00:00

  • CYP3A4 expression to predict treatment response to docetaxel for metastasis and recurrence of primary breast cancer.

    abstract:PURPOSE:Tumors expressing high levels of CYP3A4 are likely to have a poor treatment response to docetaxel (DOC), which is metabolized by CYP3A4. Tissue samples of recurrent breast cancer are sometimes hard to obtain just before treatment because the tumor is often difficult to access. Using immunohistochemistry, we mea...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-009-4328-7

    authors: Sakurai K,Enomoto K,Matsuo S,Amano S,Shiono M

    更新日期:2011-05-01 00:00:00

  • Esophageal carcinoma showing a long stricture due to prominent lymphatic permeation: report of a case.

    abstract::Some esophageal diseases such as carcinoma, esophagitis, and collagen diseases have often been reported to show a diffusely thickened esophageal wall in the roentogenogram findings. In the current report, a preoperative upper gastrointestinal series and an endoscopic examination showed a diffusely infiltrative type ca...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02482350

    authors: Kawaguchi H,Kuwano H,Araki K,Egashira A,Saeki H,Ohga T,Morita M,Kitamura K,Sugimachi K

    更新日期:1999-01-01 00:00:00

  • Primary lung cancer occurring concomitantly with the cicatrized and calcified ova of a parasite: report of a case.

    abstract::We report herein a rare case of primary lung cancer that occurred concomitantly with the calcified ova of a parasite. A 58-year-old man was referred to our department after a pulmonary abnormal shadow had been seen on a chest X-ray done at mass screening. A transbronchial lung biopsy (TBLB) revealed the calcified ova ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950170137

    authors: Hanagiri T,Tsuda I,Tsukamoto T,Nagasako T,Kobayashi H,Hattori M,Kawamura K,Ogasawara K,Manabe K,Uchino J

    更新日期:2001-01-01 00:00:00

  • Adult-to-adult right-lobe living donor liver transplantation in recipients with hepatitis B virus-related benign liver disease and high model end-stage liver disease scores.

    abstract:PURPOSE:We evaluated the safety and efficacy of adult-to-adult right-lobe living donor liver transplantation (ARL-LDLT) in HBV-related benign liver disease recipients with high model for end-stage liver disease (MELD) scores. METHODS:The subjects of this study were 70 adult patients who underwent ARL-LDLT and 191 who ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-013-0539-z

    authors: Jiang L,Yan L,Tan Y,Li B,Wen T,Yang J,Zhao J

    更新日期:2013-09-01 00:00:00

  • Esophageal perforation: principles of diagnosis and surgical management.

    abstract:PURPOSE:Esophageal perforation (EP) is still associated with a high mortality rate, even after surgical repair. We reviewed 17 cases of EP to evaluate the management of this major surgical problem. METHODS:We reviewed the medical records of all patients treated for EP in our department between November 2001 and Novemb...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-005-3158-5

    authors: Huber-Lang M,Henne-Bruns D,Schmitz B,Wuerl P

    更新日期:2006-01-01 00:00:00

  • Initial experiences with MR Image-guided laparoscopic microwave coagulation therapy for hepatic tumors.

    abstract:PURPOSE:Percutaneous thermal ablation is used for treating hepatic tumors. Recent advances in laparoscopy and imaging modalities have led to the development of a novel image-guided minimally invasive loco-regional treatment. The aim of this trial was to apply laparoscopic assistance to magnetic resonance (MR) image-gui...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-014-1042-x

    authors: Murakami K,Naka S,Shiomi H,Akabori H,Kurumi Y,Morikawa S,Tani T

    更新日期:2015-09-01 00:00:00

  • Effect of intra-hepatoarterial infusion of MMC and CDDP for gastric cancer patients with liver metastases.

    abstract::The influence of operative treatment and chemotherapy on the prognosis in 93 gastric cancer patients with liver metastasis was studied. Chemotherapy included the systemic administration of mitomycin C (MMC) (39 patients), an intra-hepatoarterial infusion of MMC (MMC IAC group) (19 patients) and an intra-hepatoarterial...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00308831

    authors: Yonemura Y,Matuki N,Sakuma H,Katayama K,Sawa T,Fujimura T,Ohyama S,Miwa K,Miyazaki I,Tanaka M

    更新日期:1992-01-01 00:00:00

  • Airway stenting.

    abstract::Interventional pulmonology, otherwise known as "airway stenting," has developed in the field of pulmonary medicine focused on using advanced bronchoscopic techniques to treat airway disorders. Tracheobronchial disorders can be caused by malignant or benign tumors, extrinsic compression, postintubation tracheal injurie...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-004-2942-y

    authors: Saito Y,Imamura H

    更新日期:2005-01-01 00:00:00

  • Effectiveness and risk of biliary drainage prior to pancreatoduodenectomy: review of current status.

    abstract::Preoperative biliary drainage (PBD) prior to pancreatoduodenectomy (PD) has gained popularity as bridge management to resolve jaundice, but its role is being challenged as it is thought to increase morbidity. To clarify the current recommendations for PBD prior to PD, we reviewed the literature, including all relevant...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-017-1568-9

    authors: Zarzavadjian Le Bian A,Fuks D,Dalla Valle R,Cesaretti M,Violi V,Costi R

    更新日期:2018-04-01 00:00:00

  • Early gastric cancer manifested as brain metastasis: report of a case.

    abstract::A case of early gastric cancer, limited to submucosal layer, which was manifested as cerebral metastasis is presented herein. A 47-year-old man was admitted to Nagaoka Chuo General Hospital with convulsions and a disturbance in consciousness, where a computed tomography (CT) scan revealed a cerebral tumor in the left ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00941808

    authors: Nomura T,Yoshikawa T,Kato H,Nikkuni K,Sasaki K,Shirai Y,Hatakeyama K

    更新日期:1997-01-01 00:00:00

  • Ischemia-reperfusion injury of the liver with special reference to calcium-dependent mechanisms.

    abstract::Ischemia-reperfusion (I/R) injury is a complex process involving numerous intracellular signaling pathways, mediators, cells, and pathophysiological disturbances; its prevention during liver surgery is of utmost importance. In this review, we divide hepatic I/R injury into two phases, intracellular and extracellular, ...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s595-002-8105-8

    authors: Sakon M,Ariyoshi H,Umeshita K,Monden M

    更新日期:2002-01-01 00:00:00

  • The coagulofibrinolytic state of patients with primary varicose veins of the lower legs.

    abstract::The relationship between a local hypercoagulable state and primary varicose veins of the lower legs was investigated by measuring the plasma levels of D-dimer (DD) and the thrombin-antithrombin-III complex (TAT) in 122 consecutive patients before treatment, and in 46 patients after surgical intervention and compressio...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00309958

    authors: Ikeda M,Kambayashi J,Iwamoto S,Shinoki N,Nakamura T,Shibuya T,Kawasaki T,Monden M

    更新日期:1996-01-01 00:00:00

  • The use of an omental pedicle graft to prevent small-bowel obstruction after restorative proctocolectomy.

    abstract::Small-bowel obstruction remains one of the most frequent complications after restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA). Of particular concern is small-bowel adhesion to the pelvic dead space that causes afferent limb obstruction, sometimes necessitating laparotomy. In this report, we describ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02483074

    authors: Nakagoe T,Sawai T,Tuji T,Nanashima A,Yamaguchi H,Yasutake T,Ayabe H

    更新日期:1999-01-01 00:00:00

  • Mesenchymal hamartoma of the liver accompanied by a daughter nodule: report of a case.

    abstract::Mesenchymal hamartoma of the liver (MHL) is an uncommon benign tumor found primarily in children younger than 2 years of age. We report a rare case of MHL with a daughter nodule and atypical histological findings in a 14-month-old girl. On admission, computed tomography, magnetic resonance imaging, and angiography sho...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-007-3494-8

    authors: Fukahori S,Tsuru T,Tanikawa K,Akiyoshi K,Asagiri K,Tanaka Y,Kage M,Kojiro M,Mizote H,Yagi M

    更新日期:2007-01-01 00:00:00

  • Life-threatening complications after pulmonary resection for lung cancer in patients on chronic hemodialysis.

    abstract:PURPOSE:The morbidity and mortality associated with lung cancer surgery in patients on chronic hemodialysis (CHD) is high; however, the relationship between the severity of postoperative complications and clinicopathological features is unclear. METHODS:Among 1214 consecutive patients who underwent pulmonary resection...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-019-1773-9

    authors: Tomizawa K,Sato K,Ohara S,Fujino T,Koga T,Nishino M,Kobayashi Y,Chiba M,Shimoji M,Suda K,Takemoto T,Mitsudomi T

    更新日期:2019-06-01 00:00:00

  • SOCS3 overexpression in T cells ameliorates chronic airway obstruction in a murine heterotopic tracheal transplantation model.

    abstract:PURPOSE:Suppressor of cytokine signaling-3 (SOCS3) is a negative feedback inhibitor of cytokine signaling with T-cell-mediated immunosuppressive effects on obliterative bronchiolitis (OB). In this study, we aimed to investigate the impact of T-cell-specific overexpression of SOCS3 using a murine heterotopic tracheal tr...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-018-1753-5

    authors: Mesaki K,Yamane M,Sugimoto S,Fujisawa M,Yoshimura T,Kurosaki T,Otani S,Miyoshi S,Oto T,Matsukawa A,Toyooka S

    更新日期:2019-05-01 00:00:00

  • Coexisting aortocolic and aortovesical fistulae in an abdominal aortic aneurysm: report of a case.

    abstract::Aortoenteric fistula is a rare complication in abdominal aortic aneurysms (AAA), and an aortovesical fistula is even more rare. This is a report of a case of aortocolic and aortovesical fistulae in a 64-year-old man with AAA who was treated with an aortobiiliac bypass, a primary repair of the fistulated bladder, and a...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s10595-002-2510-3

    authors: Kang SJ,Kim DI,Huh SH,Lee BB,Kim DK,Do YS

    更新日期:2003-01-01 00:00:00

  • Gastric conduit-preserving, radical pancreaticoduodenectomy with microvascular reconstruction for pancreatic head cancer after esophagectomy: report of a case.

    abstract::Pancreaticoduodenectomy is a radical treatment for pancreatic head cancer. However, it is sometimes difficult to perform pancreaticoduodenectomy, particularly in patients who have previously undergone esophagectomy with gastric conduit reconstruction. We herein describe a surgical technique for radical pancreaticoduod...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-013-0791-2

    authors: Inoue A,Akita H,Eguchi H,Hama N,Wada H,Kawamoto K,Kobayashi S,Mori M,Doki Y,Nagano H

    更新日期:2014-04-01 00:00:00

  • Predictors of hypocalcemia occurring after a total/near total thyroidectomy.

    abstract:PURPOSE:The aim of this study was to identify the predictors of early postoperative hypocalcemia after a total/near total thyroidectomy in order to select patients for prompt treatment to prevent symptomatic hypocalcemia. METHODS:Patients with hypocalcemia within 24 h of surgery were identified as Group I and normocal...

    journal_title:Surgery today

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00595-009-3957-1

    authors: Kara M,Tellioglu G,Krand O,Fersahoglu T,Berber I,Erdogdu E,Ozel L,Titiz MI

    更新日期:2009-01-01 00:00:00

  • Clinical results of endovenous LASER ablation (EVLA) using low linear endovenous energy density (LEED) combined with high ligation for great saphenous varicose veins.

    abstract:PURPOSE:This study was designed to analyze the efficacy and complications in endovenous LASER ablation (EVLA) with 1470 nm diode lasers using low linear endovenous energy density (LEED) combined with high ligation for varicose veins of the great saphenous vein (GSV). METHODS:One hundred and sixteen limbs of 102 patien...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-015-1289-x

    authors: Park YS,Kim YW,Park YJ,Kim DI

    更新日期:2016-09-01 00:00:00

  • Solitary cavernous hemangioma of the duodenum: report of a case.

    abstract::Vascular lesions of the duodenum, including hemangioma, are rare causes of gastrointestinal bleeding. We herein describe a 52-year-old woman with a solitary cavernous hemangioma of the duodenum that caused chronic gastrointestinal bleeding. Repeated upper gastrointestinal endoscopy and a barium meal study revealed a s...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00311641

    authors: Fujikawa T,Kurata M,Takaori K,Matsusue S,Takeda H,Sakai S

    更新日期:1996-01-01 00:00:00

  • Use of a gamma probe to identify and guide resection of recurrent parathyroid carcinoma: report of a case.

    abstract::Parathyroid carcinoma (PC) accounts for less than 0.005% of all cancers and less than 5% of causes of hyperparathyroidism. This tumor is difficult to identify during surgery, which is detrimental to the oncologic results. Surgery is still the main treatment for the primary tumor and to control parathyroid hormone leve...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-009-4233-0

    authors: Cruz RP,Padoin AV,Vilhordo DW,Hoffmann A,Mottin CC

    更新日期:2011-02-01 00:00:00

  • The importance of lifelong follow-up for patients with pheochromocytoma: report of a case.

    abstract::We report herein the case of a patient who developed a malignant recurrence of pheochromocytoma 13 years after undergoing complete resection of a histologically benign, unilateral, sporadic tumor. A discussion on the importance of lifelong follow-up for patients undergoing surgery for pheochromocytoma follows this cas...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00311651

    authors: Koçak S,Aydintuğ S,Ozbaş S,Ceyhan K,Eraslan S

    更新日期:1996-01-01 00:00:00