Does technique alter quality of life after pilonidal sinus surgery?

Ertan, Tamer; Koç, Mahmut; Göçmen, Erdal; Aşlar, Ahmet Keşşaf; Keşkek, Mehmet; Kılıç, Mehmet

doi:10.1016/j.amjsurg.2004.08.068

Cited by 148 publications

(135 citation statements)

References 21 publications

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“…These operations are known to ensure shorter return-towork time and quick-healing compared with marsupialization, yet it is reported that they have high complication rates (wound disintegration, infection, pain). 16,17 Although a high wound infection rate is often linked in literature to the fact that suture line is located at the midline, 18 it could also be linked to the application of numerous subcutaneous sutures, placed in order to avoid possible separations in the suture line, and the tissue perfusion that decreases due to tension. This led the surgeons to flap operations that would flatten the natal cleft, keep the suture line away from the natal cleft, and reduce the tension.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Tokaç¹,

Dumlu²,

Aydın³

et al. 2015

International Surgery

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The best surgical technique for pilonidal sinus disease (PSD) is still disputed. The objective of this prospective randomized study is to compare the short and long-term results of modified Limberg flap and Karydakis flap surgeries that have been widely used in recent years. Ninety one patients were included in the study. The patients were divided into two groups: modified Limberg flap (MLF; n ¼ 46) and Karydakis flap (KF; n ¼ 45). Preoperative findings of the patients, their surgical findings, and short and long-term postoperative findings were recorded and statistically compared. While no significant difference was discovered between the groups in terms of postoperative analgesic need, hospital stay, postoperative infection rate, drain stay time, painless sitting time, painless toilet-sitting time, and painless walking time, return to work or school time was shorter in the MLF group compared with the KF group (20.61 6 7.89 days, 23.29 6 6.42, respectively; P , 0.05). Cosmetically, the visual analog scale (VAS) of the KF group was significantly higher than that of the MLF group (VAS score 7.12 6 1.28, 5.45 6 1.77, respectively; P , 0.05). Considering recurrence rates, no statistically significant difference was found between the groups. Our study found out that short and longterm results of the MLF and KF procedures are similar. We believe both methods can be safely used in surgical PSD treatment given that in the MLF procedure, shorter return-towork time is achieved, while the procedure provides better cosmetic results.

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Section: Discussionmentioning

confidence: 99%

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Tokaç¹,

Dumlu²,

Aydın³

et al. 2015

International Surgery

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“…In order to avoid median recurrences and flatten the natal cleft, surgeons have developed numerous procedures such as the Karydakis technique (3,16,17), Bascom procedure (18,19,20,21) and other asymmetrical closing techniques (22,23) such as rhomboid excision with Limberg (24,25,26,27) or Dufourmentel flap closure (28), z-plasty (29) or rotation flap (30). In general, results of these asymmetrical closure and flap techniques seem better than results of open technique or primary midline closure techniques, although the surgical trauma is more extensive, and cosmetic results are not always optimal.…”

Section: Introductionmentioning

confidence: 99%

Secondary Healing versus Midline Closure and Modified Bascom Natal Cleft Lift for Pilonidal Sinus Disease

et al. 2011

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Background and Aims: pilonidal sinus disease is a common disease in young employed male adults. ongoing discomfort usually indicates an operative intervention. the main drawback is however the complication of wound healing. numerous techniques for surgical treatment have been proposed, which underlies the lack of a superior technique.Material and Methods: a retrospective study was performed on the medical notes of 62 patients operated for a pilonidal sinus between may 2005 and december 2006. used techniques were: 'modified Bascom procedure', 'excision and primary closure' and 'excision with secondary wound healing'. patients' characteristics, operative parameters and data on outcome were included. the primary endpoint was wound healing.Results: twenty-five patients underwent the modified Bascom procedure, 19 underwent surgical excision with primary midline closure and 18 underwent surgical excision with secondary wound healing. there were no demographical differences between the groups of patients. the modified Bascom technique showed a significantly reduced wound healing time (29 days) compared to primary closure (52 days, p < 0.01) and secondary healing (62 days, p < 0.01). the duration of this modified procedure was significantly longer (49, 33 and 24 minutes respectively, p < 0.01).Conclusions: Wound healing remains an important problem in the surgical treatment of pilonidal disease. Significant faster convalescence can be achieved using the modified Bascom procedure. Wide local excision as primary therapy should not be advocated.

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“…In addition, today, the treatment of pilonidal sinus disease has been tried in different non-surgical methods such as phenol administration, cryosurgery and shaving [23][24][25]. Rhomboid excision and Limberg flap method have been reported to have a faster recovery time, lower recurrence and postoperative complication rate than excision and primer closure [26,27]. It has been reported that recurrence rates of pilonidal sinus disease with Karydakis flap repair are 1-4%, and 1-6% with Limberg flap treatment [28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment with rhomboid excision and Limberg flap technique under spinal anesthesia of 23 young with pilonidal sinus disease

Öztürk

Yoldaş²,

Karagöz³

2018

j-ebr

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A B S T R A C T Aim:To present the experience of treatment with Limberg flap procedure under spinal anesthesia in 23 young patients with pilonidal sinus disease. Methods: This was a retrospective study of 23 young patients who underwent surgery for pilonidal sinus disease under spinal anesthesia between January 2011 and November 2017 in the Division of Pediatric Surgery. All patients were evaluated for age, sex, clinical diagnosis, and body mass index, and infection, duration of symptoms, treatment, healing time, recurrences, complications and results. Results: Of the 23 patients, 4 (17%) were male, and 19 (83%) were female. The mean age of the patients was 15.21 ± 2.8 years and the mean symptom duration was 4 ± 2.6 months. In 13 patients (56.5%), there was one or more sagittal lines in the midline and the mean sinus number of the patients was 2.12 ± 0.60. Pain was the most important complaint affecting the quality of life of the patient. The mean body mass index was 26.33 ± 2.54 kg / m2, and 47.8% (n = 11) were high BMI and 53.2% were normal BMI. One patient had temporary headache and one patient had urinary retention. Wound infection occurred in 2 patients (8.6%). Recurrence was not observed in patients. Conclusion: In this study, pilonidal sinus disease was treated with Limberg flap procedure under spinal anesthesia. The combination of these two applications in patients with pilonidal sinus may provide significant advantages, such as rapid recovery and short hospital stay, early return to daily activities, low complications, and recurrence rates.

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Does technique alter quality of life after pilonidal sinus surgery?

Cited by 148 publications

References 21 publications

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Comparison of Modified Limberg Flap and Karydakis Flap Operations in Pilonidal Sinus Surgery: Prospective Randomized Study

Secondary Healing versus Midline Closure and Modified Bascom Natal Cleft Lift for Pilonidal Sinus Disease

Surgical treatment with rhomboid excision and Limberg flap technique under spinal anesthesia of 23 young with pilonidal sinus disease

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