Sacrococcygeal Acute Pilonidal Abscess: Long Term Results

DEMİRAL, GÖKHAN

Sacrococcygeal Acute Pilonidal Abscess: Long Term Results

Gökhan DEMİRAL (Recep Tayyip Erdoğan University Training and Research Hospital, Department of General Surgery, Rize, Turkey)

Türk Kolon ve Rektum Hastalıkları Dergisi

1 0

Yıl: 2017 Cilt: 27 Sayı: 4 Sayfa Aralığı: 126 - 129 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Sacrococcygeal Acute Pilonidal Abscess: Long Term Results

Öz:

Amaç: Bu çalışmada sakrokoksigeal bölgede akut pilonidal apse ile başvuran ve Limberg flep uyguladığımız hastaların geç dönem sonuçları değerlendirilmiştir.Yöntem: Pilonidal apse tanısı ile ilk kez polikliniğe başvuran ve düzenli yara bakım imkanı olmayan 24 erkek askeri personel retrospektif olarak değerlendirildi. Daha önce ameliyat olmuş nüks olgular çalışmaya alınmadı. Tüm hastalara Limberg flep tekniği uygulandı. Diren kullanılmadı. Olguların yaş, ameliyat süreleri, hastanede kalış süreleri ve günlük aktivitelere dönüş süreleri kaydedildi. Ameliyat sonrası telefon ile ulaşılarak nüks durumları sorgulandı.Bulgular: Yaş ortalaması 25,2 , hastanedeki kalış süresi 4,2 gün , günlük aktivitelerine dönüş zamanı 6,8 gün, ortalama ameliyat süresi 45,2 dakika idi. Ameliyat sonrası dönemde 2 hastada hematom, 3 hastada ise seroma gözlendi. Hematom gözlenen hastalar postoperatif 1. ve 3. ay nüks ile reopere edildi. Seroma gelişen olgulardan biri 35. ay ve diğer hastalardan dördü nüks nedeniyle değişik merkezlerde opere edildikleri öğrenildi. Toplam 7 hastada nüks gelişmiş idi (%29,1).Sonuç: Her ne kadar çalışmamızda nüks oranı elektif olgulara kıyasla yüksek olsa da kötü hijyenik ortamlarda çalışma veya yaşama zorunluluğu olan seçilmiş pilonidal apseli olgularda hastanede kalış süresinin kısa olması ve erken işe dönüş süresi ile Limberg flep uygulanabilir

Anahtar Kelime:

Konular: Anestezi Geriatri ve Gerontoloji Göz Hastalıkları Ortopedi

Sakrokoksigeal Akut Pilonidal Apse ile Başvuran Hastaların Tedavisinde Limberg Flep: Geç Dönem Sonuçları

Öz:

Aim: In this study, we evaluated the long-term results of patients who presented with acute pilonidal abscess in the sacrococcygeal region and were treated with Limberg flap.Method: Twenty-four male military personnel who were admitted to the outpatient clinic for the first time with the diagnosis of pilonidal abscess and who did not have regular wound care were prospectively followed. Patients with recurrence were not included in study. Limberg flap technique without drainage was applied to all patients. Age, surgery duration, length of hospital stay, and time to return to daily activities were recorded. The patients were asked about postoperative recurrence by telephone.Results: Mean age was 25.2 years (20-32 years), mean length of hospital stay was 4.2 days (3-6 days), mean time to return to daily activities was 6.8 days, and mean duration of surgery was 45.2 minutes (37-68 minutes). Hematoma was observed postoperatively in 2 patients and seroma in 3 patients. The patients with hematomas were reoperated at 1 month and 3 months. One seroma patient and 4 of the other patients were also reoperated at different hospitals due to recurrence. In total, recurrence was observed in 7 patients (29.1%).Conclusion: Although the recurrence rate in our study is higher than in elective cases, it is possible to apply the Limberg flap with a shorter hospital stay and earlier return to work in selected patients with pilonidal abscess who live and work in poor hygienic conditions

Anahtar Kelime:

Konular: Anestezi Geriatri ve Gerontoloji Göz Hastalıkları Ortopedi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Ciftci F, Abdurrahman I, Tosun M, Bas G. A new approach: oblique excision and primary closure in the management of acute pilonidal disease. Int J Clin Exp Med 2014;7:5706-5710.
2. Kapan M, Kapan S, Pekmezci S, Durgun V. Sacrococygeal pilonidal sinus disease with Limberg flap repair. Tech Coloproctol 2002;6:27-32.
3. Erdem E, Sungurtekin U, Neşşar M. Are postoperative drains necessary with the Limberg flap for treatment of pilonidal sinus? Dis Colon Rectum 1998;41:1427-1431.
4. Bascom J. Pilonidal disease: long-term results of follicle removal. Dis Colon Rectum 1983;26:800-807.
5. Hussain ZI, Aghahoseini A, Alexander D. Converting emergency pilonidal abscess into an elective procedure. Dis Colon Rectum 2012;55:640-645.
6. Cubukçu A, Gönüllü NN, Paksoy M, Alponat A, Kuru M, Ozbay O. The role of obesity on the recurrence of pilonidal sinus disease in patients, who were treated by excision and Limberg flap transposition. Int J Colorectal Dis 2000;15:173-175.
7. Vallance S. Pilonidal fistulas mimicking fistulas-in-ano. Br J Surg 1982;69:161-162.
8. Matter I, Kunin J, Schein M, Eldar S. Total excision versus non-resectional methods in the treatment of acute and chronic pilonidal disease. Br J Surg 1995;82:752-753.
9. Allen-Mersh TG. Pilonidal sinus: finding the right track for treatment. Br J Surg 1990;77:123-132.
10. Vahedian J, Nabavizadeh F, Nakhaee N, Vahedian M, Sadeghpour A. Comparison between drainage and curettage in the treatment of acute pilonidal abscess. Saudi Med J 2005;26:553-555.
11. Hanley PH. Acute pilonidal abscess. Surg Gynecol Obstet 1980;150:9-11.
12. Courtney SP, Merlin MJ. The use of fusidic acid gel in pilonidal abscess treatment: cure, recurrence and failure rates. Ann R Coll Surg Engl 1986;68:170-171.
13. Simms MH, Curran F, Johnson RA, Oates J, Givel JC, Chabloz R, AlexanderWilliams J. Treatment of acute abscesses in the casualty department. Br Med J (Clin Res Ed) 1982;284:1827-1829.
14. Lord PH, Millar DM. Pilonidal sinus: A simple treatment. Br J Surg 1965;52:298-300.
15. Edwards MH. Pilonidal sinus: a 5 year appraisal of the Millar-Lord treatment. Br J Surg 1977;64:867-868.
16. Kanat BH, Bozan MB, Yazar FM, Yur M, Erol F, Özkan Z, Emir S, Urfalıoğlu A. Comparison of early surgery (unroofing-curettage) and elective surgery (Karydakis flap technique) in pilonidal sinus abscess cases . Ulus Travma Acil Cerrahi Derg 2014;20:366-370.
17. Garg P, Garg M, Gupta V, Mehta SK, Lakhtaria P. Laying open (deroofing) and curettage under local anesthesia for pilonidal disease: An outpatient procedure. World J Gastrointest Surg 2015;7:214-218.
18. Dadacı AH, Okuş A, Memişoğlu K, Yiğit E, Akalın NB, Peker M. The Effectivity of Drainage in Limberg Flap Procedure for Treatment of Pilonidal Sinus Disease. Turk J Colorectal Dis 2007;17:145-150.
19. Kirkil C, Böyük A, Bülbüller N, Aygen E, Karabulut K, Coşkun S. The effects of drainage on the rates of early wound complications and recurrences after Limberg flap reconstruction in patients with pilonidal disease. Tech Coloproctol 2011;15:425-429.
20. Šutalo N, Šoljić M, Kozomara D, Petričević J, Glibo DB, Bošnjak A, Culjak V. The influence of dreinage in the treatment of chronic pilonidal sinus disease using midline closure. Psychiatr Danub 2015;27(Suppl 2):593-595.
21. Javed MA, Fowler H, Jain Y, Singh S, Scott M, Rajaganeshan R. Comparison of conventional incision and drainage for pilonidal abscess versus novel endoscopic pilonidal abscess treatment (EPAT). Tech Coloproctol 2016;20:871-873.
22. Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg 1992;62:385-389.
23. Bozkurt MK. Tezel E. Management of pilonidal sinus with the Limberg flap. Dis Colon Rectum 1988;41:775-777.

APA	DEMİRAL G (2017). Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. , 126 - 129.
Chicago	DEMİRAL GÖKHAN Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. (2017): 126 - 129.
MLA	DEMİRAL GÖKHAN Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. , 2017, ss.126 - 129.
AMA	DEMİRAL G Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. . 2017; 126 - 129.
Vancouver	DEMİRAL G Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. . 2017; 126 - 129.
IEEE	DEMİRAL G "Sacrococcygeal Acute Pilonidal Abscess: Long Term Results." , ss.126 - 129, 2017.
ISNAD	DEMİRAL, GÖKHAN. "Sacrococcygeal Acute Pilonidal Abscess: Long Term Results". (2017), 126-129.

APA	DEMİRAL G (2017). Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. Türk Kolon ve Rektum Hastalıkları Dergisi, 27(4), 126 - 129.
Chicago	DEMİRAL GÖKHAN Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. Türk Kolon ve Rektum Hastalıkları Dergisi 27, no.4 (2017): 126 - 129.
MLA	DEMİRAL GÖKHAN Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. Türk Kolon ve Rektum Hastalıkları Dergisi, vol.27, no.4, 2017, ss.126 - 129.
AMA	DEMİRAL G Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. Türk Kolon ve Rektum Hastalıkları Dergisi. 2017; 27(4): 126 - 129.
Vancouver	DEMİRAL G Sacrococcygeal Acute Pilonidal Abscess: Long Term Results. Türk Kolon ve Rektum Hastalıkları Dergisi. 2017; 27(4): 126 - 129.
IEEE	DEMİRAL G "Sacrococcygeal Acute Pilonidal Abscess: Long Term Results." Türk Kolon ve Rektum Hastalıkları Dergisi, 27, ss.126 - 129, 2017.
ISNAD	DEMİRAL, GÖKHAN. "Sacrococcygeal Acute Pilonidal Abscess: Long Term Results". Türk Kolon ve Rektum Hastalıkları Dergisi 27/4 (2017), 126-129.