Comparison of four different surgical techniques in cases with pilonidal sinus
Journal Title: Dicle Tıp Dergisi - Year 2014, Vol 41, Issue 3
Abstract
Objective: The aim of this study is to compare the results of four different surgical techniques used for pilonidal sinus. Methods: A total of 339 patients who underwent surgery for pilonidal sinus between Januray 2000 and April 2008 were evaluated prospectively. The patients were operated with one of four surgical techniques: excision and primary closure (n=76), excision and marcupialisation (n=112), excision without closure (n=104) and excision and Limberg flap (n=47) techniques. Postoperative complications (hematoma and infection) and recurrences in four groups were compared. Results: 286 male patients and 53 female patients were included in this study. Mean age of patients was 24.2 (14-57) years. The mean follow up time was 41 months. The recurrence rates after excision and primary closure, excision and marcupialization, excision without closure and excision and Limberg flap were 18.4%, 13.4%, 9.6% and %4.3%, respectively. There were not significant differences in postoperative hematoma between four groups. The postoperative infection rate in patients treated with excision without closure was the lowest but time to return to work was highest in this group partients. Patients with infection had higher rates of recurrence than patients without infection. Conclusion: Although optimal surgical technique has not been established according to our study, Limberg flap is preferable technique as compared to other techniques because of quicker healing time and decreased rates of recurrence. Key words: pilonidal sinus, primary closure, marcupialization, excision without closure, Limberg flap
Authors and Affiliations
Ahmet Keskin, Yılmaz Polat, Eyüp Duran, Süleyman Çetinkünar, Musa Zorlu
Keywords
Related Articles
- EP ID EP152782
- DOI 10.5798/diclemedj.0921.2014.03.047
- Views 112
- Downloads 0
Tam Kat Rotator Manşet Yırtıklarında Artroskopik Yardımlı Onarım: 5 Yıllık Takipte Fonksiyonel ve Radyolojik Sonuçlar
Amaç: Çalışmamızda geniş ve masif olan tam kat rotator manşet yırtığı tanısı ile artroskopik yardımlı mini-açık rotator manşet tamiri yapılan hastaların ameliyattan sonra ortalama 5 yıllık klinik ve radyolojik sonuçlar...
Primer Akciğer Lenfoma Olgusu
Primer pulmoner lenfoma, tüm akciğer tümörlerinin yalnızca %0,5’ini teşkil eden ve intrapulmoner lenfatiklerden kaynaklanan nadir bir tümördür. Radyolojik olarak kitle ve konsolidasyon şeklinde görülebilmesi nedeniyle,...
Clinicopathologic correlation of skin biopsies in pediatric patients who consulted to dermatology outpatient clinic of a university hospital
Objective: The aim of this study was to evaluate the clinicopathologic correlation of skin biopsies in pediatric patients who consulted to Dicle University Medicine Faculty Hospital Department of Dermatology. Methods:...
Eksternal dakriyosistorinostomi: Tek veya çift flep anastomozu
Amaç: Eksternal dakriosistorinostomide (DSR) tek flep ve çift flep sonuçlarını karşılaştırmak Yöntemler: Kliniğimizde Ekim 2009-Ocak 2012 tarihleri arasında epifora ve kronik dakriosistit nedeniyle eksternal DSR y...
Desfluran ve remifentanil anestezisi ile desfluran’a kombine edilmiş lomber epidural analjezinin derlenme üzerine olan etkileri
Amaç: Bu çalışmadaki primer amacımız, alt batın cerrahisi geçirecek olgularda, desfluran ve remifentanil anestezisi ile desflurana kombine edilen lomber epidural analjezi uygulamalarının postoperatif derlenme üzerine ol...