Pilonidal sinus disease: Preliminary case-control study on heat-related wound dehiscence

Frazzetta, Giuseppe; Silvia, Di Giovanni; Patrizia, Rosi; Pertile, Riccardo; Antonio, Di Sipio; Aldo, Rizzo Salvatore; Inviati, Angela; Mascagni, Pietro; Mascagni, Domenico; Luciano, Turri

doi:10.1016/j.amsu.2019.07.032

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…Furthermore, we believe that surgical-site infections were the causes of the two cases of wound dehiscence. However, wound dehiscence due to thermal damage caused by electrocautery has also be observed in cases in which the skin is not completely incised with a scalpel and the skin incision is made with electrocautery [12].…”

Section: Discussionmentioning

confidence: 99%

Kite excision in complicated pilonidal sinuses: A retrospective cohort study of a tissue-sparing technique

Ünal Özdemir

2023

J Surg Med

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Background/Aim: Pilonidal sinus (PS) is a benign chronic condition that primarily affects young people and can have a significant impact on their social life and work. Treatment options range from minimally invasive methods to surgical interventions involving wide excision. This study evaluates the outcomes of Kite excision, which aims to preserve healthy tissues, in cases of complicated PS extending along the natal cleft line. Methods: This retrospective cohort study included cases of complicated PS extending along the intergluteal sulcus. Patients with minimally extended PS, sinus openings extending laterally, or patients in whom the defect area was closed using other methods (e.g., rotation flap or Limberg flap) were excluded. Patient data were obtained from medical records and the hospital information system: patient age, gender, body mass index (BMI), length of hospital stay, duration of drainage, follow-up period, presence of flap necrosis or flap edema, wound dehiscence, and presence of seroma, hematoma, or surgical-site infections. Results: A total of 41 patients were included in the study; five (12%) were female. Twenty-three patients (56%) had recurrent PS; 18 patients (44%) underwent surgery for the first time. The mean age of the cohort was 28.5 years (standard deviation: 5.1 years). The mean BMI of the group was 30.2 kg/m2 (standard deviation: 2.9 kg/m2), and the mean hospital stay was 1.3 days (standard deviation: 0.6 days). Wound dehiscence was observed in two patients (4.9%), and hematoma beneath the flap was observed in one patient (2.4%). Seroma was detected in one patient (2.4%). A surgical-site infection was identified in two patients (4.9%). The overall postoperative complication rate was 14.6%, and recurrence was observed in one patient (2.4%). Conclusion: Kite excision performed along the natal cleft line in cases of complicated PS is a safe, effective, and minimally invasive procedure that preserves healthy tissues. It is a recommended surgical treatment option in cases of complicated PS with vertical extension, and it will reduce the incidence of recurrence and increase patient comfort.

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Section: Discussionmentioning

confidence: 99%

Kite excision in complicated pilonidal sinuses: A retrospective cohort study of a tissue-sparing technique

Ünal Özdemir

2023

J Surg Med

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Pilonidal sinus hastalığında Rhomboid eksizyon ve Modifiye Limberg flep uygulanan hastalarda tek merkez klinik deneyiminin değerlendirilmesi

UÇANER,

ÇİMEN,

BULDANLI

2023

Journal of Medicine and Palliative Care

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Aims: Pilonidal sinus disease (PSD) is a chronic inflammatory disease that is seen especially in young men, is often located in the sacrococcygeal region and negatively affects the quality of life and daily life of the person. In this study, we aimed to share our experience with the literature by examining our clinical approach and results in the patient group who underwent Modified Limberg flap technique electively in PSD. Methods: Patients who underwent elective modified Limberg flap application due to PSD in the general surgery clinic were included in the study. Demographic and clinical parameters of the patients were investigated retrospectively. Results: The mean age of 76 patients included in the study was 27.5±8.5 years (18-51 years). The median duration of hospitalisation was 2 days. The most commonly preferred prophylactic antibiotic at surgery was cefuroxime + metranidazole combination (60.5%) or cefuroxime alone (32.9%). Drain use was present in approximately 40% of the cases. Subcutaneous tissues were closed with a single layer of polyglactin suture in most cases (94.7%). During the median follow-up period of 12 months, postoperative recurrence was observed in only 6 cases (7.9%). Conclusions: Modified Limberg flap technique is a well-defined, safe and feasible surgical method. Since it is an effective off-midline technique, its application by experienced surgeons in complicated and recurrent cases in elective PSD surgery and its transfer to junior and resident surgeons will be effective in terms of moving away from midline techniques.

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Pilonidal sinus disease: Preliminary case-control study on heat-related wound dehiscence

Cited by 2 publications

References 32 publications

Kite excision in complicated pilonidal sinuses: A retrospective cohort study of a tissue-sparing technique

Kite excision in complicated pilonidal sinuses: A retrospective cohort study of a tissue-sparing technique

Pilonidal sinus hastalığında Rhomboid eksizyon ve Modifiye Limberg flep uygulanan hastalarda tek merkez klinik deneyiminin değerlendirilmesi

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