000			03846nam a22005537a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a0148-7043
024			_a00000637-202407000-00016 [pii]
040			_aOvid MEDLINE(R)
099			_a38885167
245			_aPropeller Flap Reconstruction Following Pilonidal Cyst Excision: A Single-Center Experience With Same-Day Discharge.
251			_aAnnals of Plastic Surgery. 93(1):89-93, 2024 Jul 01.
252			_aAnn Plast Surg. 93(1):89-93, 2024 Jul 01.
253			_aAnnals of plastic surgery
260			_c2024
260			_fFY2024
260			_p2024 Jul 01
265			_sppublish
265			_tMEDLINE
266			_d2024-08-07
266			_z2024/06/17 13:13
501			_aAvailable online from MWHC library: 2001 - present, Available in print through MWHC library: 1999 - 2006
520			_aCONCLUSIONS: 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. Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
520			_aINTRODUCTION: 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.
520			_aMETHODS: 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.
520			_aRESULTS: 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.
546			_aEnglish
650			_a*Pilonidal Sinus
650			_a*Plastic Surgery Procedures
650			_aAdult
650			_aAmbulatory Surgical Procedures/mt [Methods]
650			_aFemale
650			_aHumans
650			_aMale
650			_aPatient Discharge
650			_aPilonidal Sinus/su [Surgery]
650			_aPlastic Surgery Procedures/mt [Methods]
650			_aRetrospective Studies
650			_aSurgical Flaps
650			_aYoung Adult
650			_zAutomated
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aPlastic Surgery Residency
657			_aJournal Article
700			_aAbdou, Salma _bMGUH _cPlastic Surgery Residency _dMD
790			_aTowfighi P, Huffman SS, Sayyed AA, Suvarnakar AM, Abdou S, Fitzgibbons SC, Drew EL, Youn RC, Kleiber GM
856			_uhttps://dx.doi.org/10.1097/SAP.0000000000003973 _zhttps://dx.doi.org/10.1097/SAP.0000000000003973
942			_cART _dArticle
999			_c14584 _d14584