Abstract：
BACKGROUND: Reconstruction following pilonidal cyst resection must balance risk of recurrence, healing time, and resumption of functional routine. Propeller flaps provide a reliable and effective reconstructive option. This study highlights our experience with propeller flap reconstruction following pilonidal cyst resection and demonstrates the efficacy of same-day discharge.
METHODS: A single-institution retrospective chart review was performed for propeller flap reconstructions completed from March 2018 to July 2022. Patient demographics, pilonidal cyst details, operative details, and postoperative outcomes were collected. Primary outcomes included flap survival, flap complications, and pilonidal disease recurrence.
RESULTS: Twenty-eight outpatient propeller flap reconstructions following pilonidal cyst resections were identified in 26 patients, with two patients receiving a second propeller flap due to recurrence. Most patients were male (n = 15, 57.7%) with a mean age at time of index operation of 25.5 ± 5.8 years and mean body mass index of 26.5 ± 4.1 kg/m2. Mean symptom duration prior to index surgery was 39.3 months. Mean skin defect size following resection was 28.3 ± 15.3 cm2, with a mean flap size of 44.7 ± 35.5 cm2. Flap survival was 100% (n = 28), with five flaps (17.9%) experiencing minor wound complications and one patient (3.8%) requiring return to the operating room. Mean time to functional improvement was 24.0 ± 22.8 days. Pilonidal disease recurrence occurred in three patients (11.5%). Mean follow-up was 4.1 ± 5.4 months.
CONCLUSIONS: Propeller flaps provide a successful and reliable reconstructive option for pilonidal disease defects. Because patients in our cohort experienced favorable outcomes and functional improvement, we advocate for same-day discharge in order to reduce hospital and patient burden.
METHODS: A single-institution retrospective chart review was performed for propeller flap reconstructions completed from March 2018 to July 2022. Patient demographics, pilonidal cyst details, operative details, and postoperative outcomes were collected. Primary outcomes included flap survival, flap complications, and pilonidal disease recurrence.
RESULTS: Twenty-eight outpatient propeller flap reconstructions following pilonidal cyst resections were identified in 26 patients, with two patients receiving a second propeller flap due to recurrence. Most patients were male (n = 15, 57.7%) with a mean age at time of index operation of 25.5 ± 5.8 years and mean body mass index of 26.5 ± 4.1 kg/m2. Mean symptom duration prior to index surgery was 39.3 months. Mean skin defect size following resection was 28.3 ± 15.3 cm2, with a mean flap size of 44.7 ± 35.5 cm2. Flap survival was 100% (n = 28), with five flaps (17.9%) experiencing minor wound complications and one patient (3.8%) requiring return to the operating room. Mean time to functional improvement was 24.0 ± 22.8 days. Pilonidal disease recurrence occurred in three patients (11.5%). Mean follow-up was 4.1 ± 5.4 months.
CONCLUSIONS: Propeller flaps provide a successful and reliable reconstructive option for pilonidal disease defects. Because patients in our cohort experienced favorable outcomes and functional improvement, we advocate for same-day discharge in order to reduce hospital and patient burden.
摘要：
背景：毛囊囊肿切除术后的重建必须平衡复发的风险，愈合时间,并恢复功能例程。螺旋桨襟翼提供了可靠和有效的重建选择。这项研究强调了我们在毛发囊肿切除术后进行螺旋桨皮瓣重建的经验，并证明了当天出院的疗效。
方法：对2018年3月至2022年7月完成的螺旋桨皮瓣重建进行了单机构回顾性图表审查。患者人口统计学，藏毛囊的细节，操作细节,收集术后结局.主要结果包括皮瓣存活，皮瓣并发症，和毛囊疾病复发。
结果：在26例患者中，发现了28个门诊螺旋桨瓣重建术后，两名患者因复发而接受了第二个螺旋桨皮瓣。大多数患者为男性（n=15，57.7％），指数手术时的平均年龄为25.5±5.8岁，平均体重指数为26.5±4.1kg/m2。索引手术前的平均症状持续时间为39.3个月。切除后的平均皮肤缺损大小为28.3±15.3cm2，平均皮瓣大小为44.7±35.5cm2。皮瓣存活率为100%(n=28)，五个皮瓣（17.9％）出现轻微伤口并发症，一名患者（3.8％）需要返回手术室。功能改善的平均时间为24.0±22.8天。3例(11.5%)患者发生藏头症复发。平均随访时间为4.1±5.4个月。
结论：螺旋桨皮瓣提供了一种成功和可靠的重建方法。因为我们队列中的患者经历了良好的结局和功能改善，我们提倡当日出院，以减轻医院和病人的负担。
方法：对2018年3月至2022年7月完成的螺旋桨皮瓣重建进行了单机构回顾性图表审查。患者人口统计学，藏毛囊的细节，操作细节,收集术后结局.主要结果包括皮瓣存活，皮瓣并发症，和毛囊疾病复发。
结果：在26例患者中，发现了28个门诊螺旋桨瓣重建术后，两名患者因复发而接受了第二个螺旋桨皮瓣。大多数患者为男性（n=15，57.7％），指数手术时的平均年龄为25.5±5.8岁，平均体重指数为26.5±4.1kg/m2。索引手术前的平均症状持续时间为39.3个月。切除后的平均皮肤缺损大小为28.3±15.3cm2，平均皮瓣大小为44.7±35.5cm2。皮瓣存活率为100%(n=28)，五个皮瓣（17.9％）出现轻微伤口并发症，一名患者（3.8％）需要返回手术室。功能改善的平均时间为24.0±22.8天。3例(11.5%)患者发生藏头症复发。平均随访时间为4.1±5.4个月。
结论：螺旋桨皮瓣提供了一种成功和可靠的重建方法。因为我们队列中的患者经历了良好的结局和功能改善，我们提倡当日出院，以减轻医院和病人的负担。
