Utility of Methylene Blue Guided Limberg Flap on Longterm Recurrence in Adult Chronic Pilonidal Disease
Journal Title: Turkish Journal of Colorectal Disease - Year 2019, Vol 29, Issue 3
Abstract
Aim: Pilonidal sinus is a chronic intermittent disease, usually involving the sacrococcygeal area. This study was undertaken to compare the long-term results of peroperative methylene blue use in patients with pilonidal disease who underwent Limberg flap technique with and without methylene blue application. Method: Patients who underwent Limberg flap for pilonidal sinus surgery between January 2014 and November 2018 were divided into two groups: methylene blue-guided surgery (group 1) and unguided surgery (group 2). Data of the patients were collected from the files, and the long-term recurrence data of the patients were obtained by one-to-one phone calls and outpatient controls at 36 months. Age and body mass index (BMI) were also evaluated. BMI of the patients was categorized as 18.1-20.0 kg/m2, 20.1-22.5 kg/m2, 22.6-25.0 kg/m2, 25.1-27.5 kg/m2, 27.6-30.0 kg/m2 and >30.1 kg/m2. Results: Methylene blue was performed in 62 of 100 patients who underwent Limberg flap procedure and there was one recurrence in both groups. Methylene blue application did not have an effect on long-term recurrence (p=0.98). BMI groups and recurrence were analyzed regardless of methylene blue use, and BMI greater than 27.5-30.0 kg/m2 was statistically significant in the development of recurrence in long-term results (p=0.040). Conclusion: Although it is considered as an integral part of pilonidal sinus surgery, there is no superiority of methylene blue guided surgery on longterm recurrences.
Authors and Affiliations
Adnan Kuvvetli, Süleyman Çetinkunar, Alper Parlakgümüş
Keywords
Related Articles
- EP ID EP684908
- DOI 10.4274/tjcd.galenos.2019.93764
- Views 185
- Downloads 0
What is the Role of the Neutrophil: Lymphocyte Ratio in Colorectal Cancer?
The composition and cell-to-cell interactions of the peripheral immune compartment are known to influence outcomes in multiple disease entities, both neoplastic and otherwise. There is an ongoing search for a reliable bi...
Laser Hemorrhoidoplasty of a Single Surgical Centre
Aim: The aim of our study was to assess the outcome of hemorrhoidal dearterialization, achieved by a dedicated laser energy device. Method: From February 2013 to December 2017, 441 patients with second- or third-degree...
Is Tocilizumab A Risk Factor for Lower Gastrointestinal Perforations? Isolated Cecal Necrosis: A Rare Case Report
Isolated cecal necrosis is a rare seen clinical condition. A 53-year-old woman with a history of rheumatoid arthritis and hypertension presented to the emergency room with complaints of abdominal pain and vomiting that p...
Intussusception Caused by an Appendiceal Mucocele: Case Report
Intussusception of the appendix in to the caecum caused by an appendiceal mucocele is a rarecondition. Acute appendicitis is the most common presentation is of the disease. Radiologic examination methods especially compu...
Does a Distal Surgical Margin Closer than 10 mm Increase the Risk of Recurrence in Locally Advanced Rectal Cancer in a Mid-Distal Location?
Aim: Although many factors affecting recurrence, including surgical margin involvement, have been considered in rectum cancer surgery, there is no consensus on the definition of a safe distal surgical margin (DSM).We aim...