Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery

Sayan, Ali; AYDİN, Cengiz; sert, ismail; karaali, cem; Emiroglu, Mustafa; üstün, mehmet

doi:10.5222/buchd.2020.03880

Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery

Cem KARAALİ, (Tepecik Eğitimi ve Araştırma Hastanesi, Genel Cerrahi ,İzmir, Türkiye)

Ali SAYAN, (Tepecik Eğitimi ve Araştırma Hastanesi, Pediatrik ameliyat, İzmir, Türkiye)

İsmail SERT, (Tepecik Eğitimi ve Araştırma Hastanesi, Genel Cerrahi, İzmir, Türkiye)

Mehmet USTUN, (Tepecik Eğitimi ve Araştırma Hastanesi, Genel Cerrahi, İzmir, Türkiye)

Cengiz AYDİN, (Tepecik Eğitimi ve Araştırma Hastanesi, Genel Cerrahi, İzmir, Türkiye)

Mustafa EMİROĞLU (Tepecik Eğitimi ve Araştırma Hastanesi, Genel Cerrahi, İzmir, Türkiye)

İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi

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Yıl: 2020 Cilt: 10 Sayı: 1 Sayfa Aralığı: 25 - 32 Metin Dili: İngilizce DOI: 10.5222/buchd.2020.03880 İndeks Tarihi: 15-10-2020

Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery

Öz:

Objective: Recently, minimally invasive methods have been used in surgical treatment of adult sacrococcygeal pilonidal sinus (SPS) instead of classical wide excisions. However, there are fewer data about minimally invasive methods in the adolescent age group. Therefore, we aimed to compare our adolescentpatients undergoing minimal excision and primary closure (MEPC) with those undergoing Limberg flap (LF) method.Method: In this study, the data of 80 patients who were operated for sacrococcygeal pilonidal sinus between July 2014 and December 2017 were retrospectively reviewed. Patients who underwent minimal excision with primary closure (MEPC) or Limberg flap (LF) were included in the study. Patients were evaluated in terms of age, sex, body mass index (BMI), length of hospital stay, time to return to work/school, time to complete healing, complication, recurrence and patient satisfaction levels.Results: No significant difference was found between patient characteristics, complication, recurrence andpatient satisfaction rates of these two groups. However, in terms of hospitalization and return to work/ school, MEPC group was found to be statistically advantageous compared with LF group.Conclusion: MEPC procedure has similar success rates in terms of recurrence, complications and patient satisfaction compared with LF. However, the MEPC procedure has advantages such as allowing faster return to work/school and not requiring hospitalization. Therefore, in adolescents with non-complex anduncommon SPS disease, MEPC procedure may be offered as an alternative treatment option to LF

Anahtar Kelime:

Adolesan Sakrokoksigeal Pilonidal Sinus Cerrahisinde Minimal Eksizyon ve Primer Kapama ile Limberg Flap Yönteminin Karşılaştırılması

Öz:

Amaç: Son zamanlarda yetişkin sakrokoksigeal pilonidal sinusün (SPS) cerrahi tedavisinde klasik geniş eksizyonlar yerine minimal invaziv metotlar kullanılmaya başlanmıştır. Ancak adolesan yaş grubunda bu yöntemlerle ilgili daha az veri vardır. Bu nedenle minimal eksizyon ve primer kapama (MEPC) uygulanan adelosan hastalarımızı Limberg flep (LF) yöntemi uygulananklarla karşılaştırmayı amaçladık. Yöntem: Bu çalışmada 2014 temmuz-2017 aralık tarihleri arasında pilonidal sinüs nedeni ile opere edilen 80 hastanın verileri retrospektif olarak incelendi. Çalışmaya MEPC ile LF uygulanan hastalar dahil edildi. Hastalar yaş, cinsiyet,vücut kitle indeksi, hastanede yatış süresi, işe/okula başlangıç süresi, iyleşme zamanı,komplikasyon, rekkurens ve hasta memnuniyet düzeyleri açısından değerlendirildi. Bulgular: Her iki grubun hasta karakteristikleri, komplikasyon ve rekurrens oranları ile hasta memnuniyet düzeyleri arasında anlamlı bir fark bulunmadı. Ancak hastanede yatış ve işe/okula dönüş süresi açısından MEPC grubu LF grubuna göre istatistiksel olarak avantajlı bulunmuştur. Sonuç: MEPC yöntemi LF ile karşılaştırıldığında rekurrens, komplikasyon ve hasta memnuniyeti açısından benzer başarıya sahiptir. Bununla beraber MEPC yönteminin daha hızlı işe/okula dönüşe izin vermesi ve hastaneye yatış gerektirmemesi gibi avantajları vardır. Bu nedenle kompleks ve yaygın olmayan SPS hastalığına sahip adolesanlarda MEPC yöntemi, LF’e alternatif bir tedavi seçeneği olarak hastalara sunulabilir

Anahtar Kelime:

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

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APA	karaali c, Sayan A, sert i, üstün m, AYDİN C, Emiroglu M (2020). Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. , 25 - 32. 10.5222/buchd.2020.03880
Chicago	karaali cem,Sayan Ali,sert ismail,üstün mehmet,AYDİN Cengiz,Emiroglu Mustafa Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. (2020): 25 - 32. 10.5222/buchd.2020.03880
MLA	karaali cem,Sayan Ali,sert ismail,üstün mehmet,AYDİN Cengiz,Emiroglu Mustafa Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. , 2020, ss.25 - 32. 10.5222/buchd.2020.03880
AMA	karaali c,Sayan A,sert i,üstün m,AYDİN C,Emiroglu M Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. . 2020; 25 - 32. 10.5222/buchd.2020.03880
Vancouver	karaali c,Sayan A,sert i,üstün m,AYDİN C,Emiroglu M Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. . 2020; 25 - 32. 10.5222/buchd.2020.03880
IEEE	karaali c,Sayan A,sert i,üstün m,AYDİN C,Emiroglu M "Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery." , ss.25 - 32, 2020. 10.5222/buchd.2020.03880
ISNAD	karaali, cem vd. "Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery". (2020), 25-32. https://doi.org/10.5222/buchd.2020.03880

APA	karaali c, Sayan A, sert i, üstün m, AYDİN C, Emiroglu M (2020). Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 10(1), 25 - 32. 10.5222/buchd.2020.03880
Chicago	karaali cem,Sayan Ali,sert ismail,üstün mehmet,AYDİN Cengiz,Emiroglu Mustafa Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 10, no.1 (2020): 25 - 32. 10.5222/buchd.2020.03880
MLA	karaali cem,Sayan Ali,sert ismail,üstün mehmet,AYDİN Cengiz,Emiroglu Mustafa Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, vol.10, no.1, 2020, ss.25 - 32. 10.5222/buchd.2020.03880
AMA	karaali c,Sayan A,sert i,üstün m,AYDİN C,Emiroglu M Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2020; 10(1): 25 - 32. 10.5222/buchd.2020.03880
Vancouver	karaali c,Sayan A,sert i,üstün m,AYDİN C,Emiroglu M Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2020; 10(1): 25 - 32. 10.5222/buchd.2020.03880
IEEE	karaali c,Sayan A,sert i,üstün m,AYDİN C,Emiroglu M "Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery." İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 10, ss.25 - 32, 2020. 10.5222/buchd.2020.03880
ISNAD	karaali, cem vd. "Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery". İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 10/1 (2020), 25-32. https://doi.org/10.5222/buchd.2020.03880