Z Plasty Success Rate? Experiences?

Discussion in 'Pilonidal Discussions' started by JoeB_uk, May 28, 2006.

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  1. JoeB_uk

    JoeB_uk New Member

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    Hey :) I have had four operations fail; 1 drainage, 2 closed, and one left open. They said they would have ago at a zplasty, if it came back again, it has again. So has anyone had one of these? How did it effect you afterwards, ie recovery and side effects post recovery? Also did it come back? I have only read a few posts on this forum about these surgeries, maybe because they are the last resort? What I read has worried me, one guy unable to compete in sport after two years, and three who have not been succesful :(


    Anyway, thanks for any input.
     
  2. Sasha

    Sasha Administrator Staff Member

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    Z-plasty is a rather severe solution, in my opinion. The scarring is pretty substantial. If it were me, I would be looking at either the Karydakis Flap or the Cleft Lift. If you checked out the UK forum below this one there is a sticky with contact info for Asha Senapati, she should be able to direct you towards a surgeon that knows one of those two procedures.
     
  3. Jennifer

    Jennifer New Member

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    I had Z-Plasty surgery back in November '05. It was my first and only surgery though after reading Sasha's post, I'm curious why the surgeon started with this method. The surgery went well and there was very little pain during the healing period. An infection did set in after three weeks so, part of the incision line required packing for a month and a half. (Total incision was slightly over eight inches; only one inch required packing following the infection). All things considered, it was an easy recovery and didn't hurt nearly as badly as a "flare up." I resumed working after three weeks and beyond some twinges now and then, haven't had any problems. Knock on wood, the cyst hasn't returned. Good Luck!
     
  4. JoeB_uk

    JoeB_uk New Member

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    Yeah, I think the surgeons told me about these methods before I discussed my previous operation. They seemed to think the z plasty was the best option though, and the one they preferred to do. Anyway I will have to discuss these options with them on friday, when I go and see the consultant.

    You say its preety severe, I think I need something like this. Obviously just a normal excision (open & closed) with me is not going to work. So there is no point wasting every summer of my life trying to get rid of it through the basic excision, and have it come back every year. Although, I am not sure about the sound of these surgeries, they do kind of put me off. But I guess I have no other option.

    Thanks for the link in the forum, but we cant afford private surgery. All my operations have been done on nhs. So far they have been good with me, but just the operations dont seem to be effective.
     
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