Cleft-lift operation for pilonidal sinuses under tumescent local anesthesia: A prospective cohort study of peri- and postoperative pain

Diseases of the Colon and Rectum

Volumn 54, Issue 7, 2011, Pages 895-900

  Bertelsen, Claus Anders ^a  

^a HILLERØD HOSPITAL   (Denmark)

Author keywords

Cleft lift; Day surgery; Local anesthesia; Pain; Pilonidal sinus; Return to work; Tumescent

Indexed keywords

ADRENALIN; BICARBONATE; CEFALEXIN; CEFUROXIME; FENTANYL; IBUPROFEN; MEPIVACAINE; METRONIDAZOLE; MIDAZOLAM; OXAZEPAM; PARACETAMOL; LIDOCAINE; LOCAL ANESTHETIC AGENT;

ADOLESCENT; ADULT; ANTIBIOTIC PROPHYLAXIS; ARTICLE; CLEFT LIP OPERATION; DRUG INFUSION; FEMALE; GENERAL ANESTHESIA; HEMATOMA; HOSPITAL DISCHARGE; HUMAN; LOCAL ANESTHESIA; MAJOR CLINICAL STUDY; MALE; MEDICAL LEAVE; NUMERICAL RATING SCALE PAIN SCORE; OPERATING ROOM; OUTCOME ASSESSMENT; PERIOPERATIVE PERIOD; PH; PILONIDAL SINUS; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PAIN; PREOPERATIVE TREATMENT; PROSPECTIVE STUDY; RECURRENT DISEASE; REOPERATION; SCORING SYSTEM; SEROMA; SURGICAL INFECTION; SURGICAL TECHNIQUE; SUTURE; TELECONSULTATION; TUMESCENT LOCAL ANESTHESIA; WOUND DEHISCENCE; WOUND HEALING; COMPARATIVE STUDY; FOLLOW UP; INTRAOPERATIVE PERIOD; METHODOLOGY; MIDDLE AGED; PAIN ASSESSMENT; PATIENT SATISFACTION; PLASTIC SURGERY; SUBCUTANEOUS DRUG ADMINISTRATION; TREATMENT OUTCOME;

ADOLESCENT; ADULT; ANESTHESIA, LOCAL; ANESTHETICS, LOCAL; FEMALE; FOLLOW-UP STUDIES; HUMANS; INFUSIONS, SUBCUTANEOUS; INTRAOPERATIVE PERIOD; LIDOCAINE; MALE; MIDDLE AGED; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PATIENT SATISFACTION; PILONIDAL SINUS; PROSPECTIVE STUDIES; SURGICAL FLAPS; TREATMENT OUTCOME;

EID: 80051571792     PISSN: 00123706     EISSN: 15300358     Source Type: Journal    
DOI: 10.1007/DCR.0b013e31820ee852     Document Type: Article

References (26)

1. Al-Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev. 2010CD006213.
2. Nordon IM, Senapati A, Cripps NP. A prospective randomized controlled trial of simple Bascom's technique versus Bascom's cleft closure for the treatment of chronic pilonidal disease. Am J Surg. 2009;197:189-192.
3. Bascom J, Bascom T. Failed pilonidal surgery: new paradigm and new operation leading to cures. Arch Surg. 2002;137:1146-1151.
4. Theodoropoulos GE, Vlahos K, Lazaris AC, Tahteris E, Panoussopoulos D. Modified Bascom's asymmetric midgluteal cleft closure technique for recurrent pilonidal disease: early experience in a military hospital. Dis Colon Rectum. 2003;46:1286-1291. (Pubitemid 37129570)
5. Senapati A, Cripps NP, Flashman K, Thompson MR. Cleft closure for the treatment of pilonidal sinus disease [published online ahead of print December 8, 2010]. Colorectal Dis. doi: 10.1111/j.1463-1318.2009.02148.x.
6. Bascom J, Bascom T. Utility of the cleft lift procedure in refractory pilonidal disease. Am J Surg. 2007;193:606-609. (Pubitemid 46559900)
7. Bascom JU. Procedures for pilonidal disease. In: Carter D, Russel RCG, Pitt HA, eds. Atlas of General Surgery. Vol 3. London: Chapman & Hall; 1996:862-872.
8. Flynn TC, Coldiron B, Narins RS. Liposuction using dilute local anesthesia. Dermatol Surg. 2003;29:1144-1145. (Pubitemid 37370448)
9. Kayaalp C, Olmez A, Aydin C, Piskin T. Tumescent local anesthesia for excision and flap procedures in treatment of pilonidal disease. Dis Colon Rectum. 2009;52:1780-1783.
10. Bertelsen CA, Jørgensen LN. Bascom's operation for pilonidal fistula [in Danish]. Ugeskr Laeger. 2008;170:2313-2317.
11. Abdelrazeq AS, Rahman M, Botterill ID, Alexander DJ. Shortterm and long-term outcomes of the cleft lift procedure in the management of nonacute pilonidal disorders. Dis Colon Rectum. 2008;51:1100-1106.
12. Tezel E, Bostanci H, Anadol AZ, Kurukahvecioglu O. Cleft lift procedure for sacrococcygeal pilonidal disease. Dis Colon Rectum. 2009;52:135-139.
13. Akca T, Colak T, Ustunsoy B, Kanik A, Aydin S. Randomized clinical trial comparing primary closure with the Limberg flap in the treatment of primary sacrococcygeal pilonidal disease. Br J Surg. 2005;92:1081-1084. (Pubitemid 41284871)
14. Karakayali F, Karagulle E, Karabulut Z, Oksuz E, Moray G, Haberal M. Unroofing and marsupialization vs. rhomboid excision and Limberg flap in pilonidal disease: a prospective, randomized, clinical trial. Dis Colon Rectum. 2009;52:496-502.
15. Ersoy E, Devay AO, Aktimur R, Doganay B, Ozdog?an M, Gündoǧdu RH. Comparison of the short-term results after Limberg and Karydakis procedures for pilonidal disease: randomized prospective analysis of 100 patients. Colorectal Dis. 2009;11: 705-710.
16. Rao MM, Zawislak W, Kennedy R, Gilliland R. A prospective randomised study comparing two treatment modalities for chronic pilonidal sinus with a 5-year follow-up. Int J Colorectal Dis. 2010;25:395-400.
17. Sungurtekin H, Sungurtekin U, Erdem E. Local anesthesia and midazolam versus spinal anesthesia in ambulatory pilonidal surgery. J Clin Anesth. 2003;15:201-205. (Pubitemid 36593447)
18. Colak T, Turkmenoglu O, Dag A, Akca T, Aydin S. A randomized clinical study evaluating the need for drainage after Limberg flap for pilonidal sinus. J Surg Res. 2010;158:127-131.
19. Lieto E, Castellano P, Pinto M, Zamboli A, Pignatelli C, Galizia G. Dufourmentel rhomboid flap in the radical treatment of primary and recurrent sacrococcygeal pilonidal disease. Dis Colon Rectum. 2010;53:1061-1068.
20. Moosavi SR, Kharazm P, Vaghardoost R. Surgical treatment of pilonidal sinus with a fasciocutaneous rotation flap based on an inferior pedicle. Scand J Plast Reconstr Surg Hand Surg. 2006;40: 281-283. (Pubitemid 44657863)
21. Can MF, Sevinc MM, Yilmaz M. Comparison of Karydakis flap reconstruction versus primary midline closure in sacrococcygeal pilonidal disease: results of 200 military service members. Surg Today. 2009;39:580-586.
22. Krand O, Yalt T, Berber I, Kara VM, Tellioglu G. Management of pilonidal sinus disease with oblique excision and bilateral gluteus maximus fascia advancing flap: result of 278 patients. Dis Colon Rectum. 2009;52:1172-1177.
23. El-Shaer WM. The modified gluteal sliding plication closure in the treatment of chronic pilonidal sinus. Int J Colorectal Dis. 2010;25:887-894.
24. Durrani Z, Winnie AP. Brainstem toxicity with reversible locked-in syndrome after intrascalene brachial plexus block. Anesth Analg. 1991;72:249-252.
25. Palmon SC, Lloyd AT, Kirsch JR. The effect of needle gauge and lidocaine pH on pain during intradermal injection. Anesth Analg. 1998;86:379-381. (Pubitemid 28079495)
26. Scarfone RJ, Jasani M, Gracely EJ. Pain of local anesthetics: rate of administration and buffering. Ann Emerg Med. 1998;31:360.