Management of pilonidal disease

Kallis, Michelle P.; Maloney, Caroline; Lipskar, Aaron M.

doi:10.1097/mop.0000000000000628

Cited by 37 publications

(43 citation statements)

References 46 publications

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“…Pilonidal disease and its treatment cause significant morbidity and broad impacts on quality of life in adolescents during an already fraught developmental period. Treatments have seen incremental improvement over the past century but still lack a standard algorithm and may not be routinely curative [11]. There are little published data on the cost of pilonidal care in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…For adolescents, the activity restrictions mandated through the perioperative period and the painful, embarrassing side effects associated with recurrences often lead to a disruption of schooling and social life during an important time in development [3,10]. Minimally invasive approaches such as sinusectomy are associated with minimal social disruption and no activity restrictions [11][12][13][14][15]. Additionally, smaller studies have shown promising results in the application of laser epilation in the primary or secondary management of pilonidal disease [16][17][18][19].…”

mentioning

confidence: 99%

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Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol

Delshad

Henry

Mooney

2020

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol

Delshad

Henry

Mooney

2020

Journal of Pediatric Surgery

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“…For this, the complication rate of the procedure should be low, the hospital stay should be short and the recurrence rates should be low. 2,4,5 As a definite method cannot be established regarding aforementioned features, the V-Y flap and the Limberg flap, which are two popular methods, were compared in this study. 6,7 There are only three studies in the English literature comparing the V-Y flap and Limberg flap.…”

Section: Discussionmentioning

confidence: 99%

“…However, although many conservative and surgical methods have been defined, recurrence rates are still high and the search for the ideal treatment is ongoing. 2,3 Although the treatment of pilonidal sinus disease in the form of acute abscess is standard (drainage), the treatment of chronic and recurrent cases is not clear. Conservative treatment methods are recommended for simple cases with single orifice and short tracts.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

Sarı¹,

Akbaba²,

Gündoğdu³

et al. 2019

tjcd

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Komplike, geniş eksizyon yapılmasını gerektirecek pilonidal sinüs hastalığının cerrahi tedavisinde popüleritesini koruyan iki yöntem olan V-Y ile Limberg flep tekniklerini karşılaştırılarak, birbirine olan üstünlüklerinin literatür ışığında gözden geçirilmesi amacıyla bir çalışma planlandı. Yöntem: Çalışmaya pilonidal sinüs hastalığı tanısı ile yatırılan ve oluşacak defekt genişliği sebebiyle flep uygulanması planlanan 100 hasta dahil edildi. Randomize olarak 2 gruba ayrılan hastalardan A grubundaki 50 hastaya V-Y flep, B grubundaki 50 hastaya ise Limberg flep uygulandı. Her iki grup gelişen komplikasyonlar, iyileşme süreleri, iş gücü kayıpları, hasta memnuniyetleri ve 2 yıllık nüks oranları açısından prospektif olarak takip edildi ve elde edilen bulgular istatistiksel olarak karşılaştırıldı. Bulgular: Her iki grubun demografik özellikleri, yakınmaları ve klinik bulguları benzerdi. Postoperatif yara enfeksiyonu oranları yakın olmakla birlikte (%26, %28; p>0,005) yara ayrışması Limberg grubunda daha fazla görüldü (%26, %36; p<0,005). Yara iyileşme süreci, iş gücü kayıpları Limberg flep grubunda daha uzun olmakla birlikte sonuçlar istatistiksel açıdan anlamlı değildi. Hasta memnuniyetleri ve takip edilen 2 yıllık dönemdeki nüksler açısından gruplar arasında fark yoktu. Sonuç: V-Y flep ve Limberg flep tekniklerinin uzun dönem nüks oranları yakındır. Yara açılması V-Y flep tekniğinde anlamlı olarak daha azdır. Bu çalışmanın sonuçlarına göre, geniş doku kaybına neden olan eksizyon sonrası V-Y flep yöntemi iyi bir alternatif olarak kabul edilebilir.

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“…Ancak, pek çok konservatif ve cerrahi yöntem tanımlanmış olmasına rağmen nüks oranları halen yüksek seyretmekte ve ideal tedavi arayışı devam etmektedir. 2,3 Günümüzde pilonidal sinüs hastalığının akut abse formunda yapılacak tedavi standart (drenaj) olmakla birlikte kronik ve nüks olguların tedavisi net değildir. Tek ağızlı, kısa kanallı olan basit olgular için konservatif tedavi yöntemleri önerilmektedir.…”

Section: Introductionunclassified

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

Sarı¹,

Akbaba²,

Gündoğdu³

et al. 2018

TJCD

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A study is planned to compare the superiorities of each other, V-Y and Limberg flap methods which are two popular methods in surgical treatment of pilonidal sinus with wide excision is required, considering the current literature. Method: The study included 100 patients which are diagnosed with pilonidal sinus disease and flap planned due to the width of defect. Patients were divided into two groups randomly. 50 patients were treated with the V-Y flap procedure in group A and 50 patients were treated with Limberg in group B. Both groups were prospectively followed in terms of complications, recovery times, loss of work power, patient satisfaction and 2 year recurrence rates, and the findings were compared statistically. Results: Demographic characteristics, complaints and clinical findings were similar in both groups. Postoperative wound infection rates were close (26%, 28%; p>0,005) but wound separation was seen more in Limberg group (26%, 36%; p<0,005). Wound healing process, loss of work power were longer in Limberg flap group, but the results were not statistically significant. There was no difference between groups about patients' satisfaction and 2-year recurrence. Conclusion: The long-term recurrence rates of V-Y flap and Limberg flap technique are similar. Wound separation is significantly less in V-Y flap technique. According to the results of this study, V-Y flap method can be accepted as a better alternative after excision which causes wide tissue loss.

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Management of pilonidal disease

Cited by 37 publications

References 46 publications

Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol

Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

Comparison of the V-Y Flap and Limberg Flap Operations in Pilonidal Sinus Surgery

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