The Effects of Pilonidal Sinus Morphology on Surgical Selection

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The Effects of Pilonidal Sinus Morphology on Surgical Selection

Journal Title: The Medical Journal of Bakırköy - Year 2019, Vol 15, Issue 3

Abstract

Objective: In this study we aimed to reveal the morphological parameters which are taken into account when determining the surgical technique and to define an algorithm to determine the surgical procedure for future patients, based on the histopathological data of patients who underwent surgical treatment for pilonidal disease, retrospectively. Methods: In this study histopathology reports of 594 patients who were operated by different surgeons between 2007 and 2011 at Istanbul University Cerrahpasa School of Medicine General Surgery Department were evaluated retrospectively. By evaluating the histopathology reports of patients retrospectively, we acquired data on specimen size, number and radius of orifice, size of excision material and surgical margin. Besides histopathological findings, we also researched the effects of patient age and gender on the surgical selection. Results: The Limberg flap was the most preferred method with a ratio of 68.7%. The Limberg flap region and surgical margin were significantly higher than the other three surgical groups (p<0.05). Unlike the limberg, karydakis and primary repair methods; patients undergoing marsupialization surgery are increasing every passing year (p<0.05). When all the surgical procedures are studied, the female/male ratio in karydakis and primary repair operations were significantly higher. Conclusion: In this study, according to the pathological findings, it seems surgical selection for the treatment of pilonidal sinus by surgeons is based on patient gender, degree of disease, healing process, size of the resection material and surgeon’s experience

Authors and Affiliations

Alpen Yahya Gümüşoğlu, Süphan Ertürk

Keywords

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EP ID EP50399
DOI 10.4274/BTDMJB.galenos.2019.20190117060657
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