Primer pilonidal sinüs hastalığı için cerrahi tedavide geniş eksizyon-açık bırakma, primer kapama ve flep uygulama sonuçlarının karşılaştırılması

Baha Arslan; Varlık Erol; Yonca Özvardar Pekcan

doi:10.19161/etd.665148

EN TR

A retrospective comparison of the results of wide excision-lay open, primary closure and flap application in surgical treatment for primary pilonidal sinus disease

Abstract

Aim: The aim of this study was to compare the results of patients who underwent primary excision of the pilonidal sinus with open excision (GE), wide excision primary closure (PC) and flap application (F). Materials and Methods: The data of 249 patients were evaluated retrospectively. Twelve of these patients were excluded because of recurrent disease. 101 patients had GE, 68 had PK and 68 had F. Demographic characteristics, duration of symptoms, characteristics of gluteal cleft, perioperative complications, duration of surgery and hospital stay, drain use and dressing status, pathological volume, distance to anus, and recurrence of the disease were recorded. Results: Mean operative time was 32.62 ± 9.65 in the GE group; 53.23 ± 15.40 in the PK group; In the F group, it was 76.69 ± 17.00 minutes (p<0.001). Recurrence in the GE group 3% (3); 4.41% in the PK group (3); In the F group, it was 2.9% (2) (p=0.855). Postoperative mean follow-up time was 49.4 ± 13.3 month in the GE group; 35.19 ± 12.86 month in the PK group; In the F group, it was 26.56 ± 9.88 month (p<0.000). Conclusion: All three techniques can be used to achieve low recurrence rates by selecting appropriate patients. The size of the diseased tissue and selected surgical technique compliance affect the recurrence rate.

Keywords

Pilonidal sinus,wide excision-lay open,primary closure,flap application

Primer pilonidal sinüs hastalığı için cerrahi tedavide geniş eksizyon-açık bırakma, primer kapama ve flep uygulama sonuçlarının karşılaştırılması

Öz

Amaç: Bu çalışmada primer pilonidal sinüs nedeni ile ameliyat edilen hastalarda geniş eksizyon sonrası açık bırakma (GE), geniş eksizyon primer kapama (PK) ve flep uygulaması (F) yapılan hastaların sonuçlarının karşılaştırılması planlandı. Gereç ve Yöntem: Toplam 249 hastanın verileri retrospektif olarak değerlendirildi. Bu hastaların 12’si nüks hastalık nedeni ile değerlendirme dışı bırakıldı. Hastaların 101’ine GE, 68’ine PK ve 68’ine de F yapılmıştı. Demografik özellikler, semptomların süresi, gluteal kleftin özelliği, perioperatif komplikasyonlar, ameliyat süresi ve hastanede kalış süresi, dren kullanımı ve pansuman durumu patolojik piyes hacmi anüse uzaklık ve hastalığın nüksü kaydedildi. Bulgular: Ortalama operasyon süresi GE grubunda 32,62±9,65; PK grubunda 53,23±15,40; F grubunda 76,69±17,00 dakika idi (p<0.001). Nüks GE grubunda %3 (3); PK grubunda %4,41(3); F grubunda %2,9 (2) idi (p=0,855). Postopratif ortalama takip süresi GE grubunda 49,4±13,3 ay; PK grubunda 35,19±12,86 ay; F grubunda 26,56±9,88 aydı (p<0,000). Sonuç: Kullanılan her üç teknik uygun hasta seçimi yapılarak düşük nüks oranlarına ulaşılmasını sağlayabilir. Hastalıklı dokunun büyüklüğü ve seçilen cerrahi teknik uyumu nüks oranını etkiler.

Anahtar Kelimeler

Pilonidal sinüs,geniş eksizyon-açık bırakma,primer kapama,flep uygulaması.

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Baha Arslan ^*
0000-0003-4461-4904
Türkiye

Varlık Erol
0000-0002-7337-4973
Türkiye

Yonca Özvardar Pekcan
0000-0002-0991-7435
Türkiye

Yayımlanma Tarihi

30 Aralık 2019

Gönderilme Tarihi

24 Ekim 2018

Kabul Tarihi

12 Kasım 2018

Yayımlandığı Sayı

Yıl 2019 Cilt: 58 Sayı: 4

DOI

https://doi.org/10.19161/etd.665148

IZ

https://izlik.org/JA54JC86GG

Kaynak Göster

RIS / Bibtex

Vancouver

1.Baha Arslan, Varlık Erol, Yonca Özvardar Pekcan. Primer pilonidal sinüs hastalığı için cerrahi tedavide geniş eksizyon-açık bırakma, primer kapama ve flep uygulama sonuçlarının karşılaştırılması. ETD. 01 Aralık 2019;58(4):391-6. doi:10.19161/etd.665148