A comparative analysis of four different surgical methods for treatment of sacrococcygeal pilonidal sinus

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dc.authoridhttps://orcid.org/0000-0003-4271-184Xen_US
dc.contributor.authorEkici, Uğur
dc.contributor.authorKanlıöz, Murat
dc.contributor.authorFerhatoğlu, Murat Ferhat
dc.contributor.authorKartal, Abdulcabbar
dc.date.accessioned2020-06-05T23:51:38Z
dc.date.available2020-06-05T23:51:38Z
dc.date.issued2019en_US
dc.departmentSağlık Bilimleri Yüksekokuluen_US
dc.descriptionDocument Information Language:English Accession Number: WOS:000492687800002 PubMed ID: 30685149en_US
dc.description.abstractObjectives: Although many surgical methods have been described for sacrococcygeal pilonidal sinus treatment, the best option is still controversial. We aimed to compare postoperative outcomes of these different methods in terms of advantages and disadvantages. Methods: The records of 320 patients undergone surgery for primary or recurrent pilonidal sinus between May 2013 and May 2017 were retrospectively analyzed. Demographical data, preoperative stories, wound site infection, seroma development, wound dehiscence, time of healing, duration of return to work, and if there is any recurrence of 303 patients included in the study were recorded. Upon wide local excision, the first surgeon performed marsupialisation and the lay open technique, second surgeon performed vertical excision and primary closure, third surgeon performed Limberg flap transposition and fourth surgeon performed Karydakis' flap transposition. Results: There was no significant difference between the patients in terms of demographical characteristics. The duration of surgery was statistically significantly higher in primary closure method (p = 0.001). The mean duration of return-to-work was statistically significantly lower in primary closure method (p = 0.002). In primary closure method, the recurrence rate was found to be statistically significantly higher than the other methods (p = 0.009). Conclusion: We do not suggest the use of primary closure method in treatment of pilonidal sinus. Because of lower rates of recurrence and shorter durations of return to work, the Karydakis and Limberg methods are seen as safer methods when compared to lay-open and marsupialization method. (C) 2019 Asian Surgical Association and Taiwan Robotic Surgery Association.en_US
dc.identifier.doi10.1016/j.asjsur.2018.12.011en_US
dc.identifier.endpage913en_US
dc.identifier.issn1015-9584
dc.identifier.issn0219-3108
dc.identifier.issue10en_US
dc.identifier.pmid30685149en_US
dc.identifier.scopus2-s2.0-85060297014en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage907en_US
dc.identifier.urihttps://hdl.handle.net/11363/2183
dc.identifier.urihttps://doi.org/
dc.identifier.volume42en_US
dc.identifier.wosWOS:000492687800002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherELSEVIER SINGAPORE PTE LTD, 3 KILLINEY ROAD 08-01, WINSLAND HOUSE 1, SINGAPORE, 239519, SINGAPOREen_US
dc.relation.ispartofASIAN JOURNAL OF SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectPilonidal sinusen_US
dc.subjectLimberg flapen_US
dc.subjectKarydakis flapen_US
dc.subjectPrimary closureen_US
dc.subjectMarsupialization and lay-openen_US
dc.subjectMODIFIED LIMBERG FLAPen_US
dc.subjectKARYDAKIS FLAPen_US
dc.subjectDISEASEen_US
dc.subjectEXCISIONen_US
dc.subjectREPAIRen_US
dc.subjectMANAGEMENTen_US
dc.subjectSURGERYen_US
dc.titleA comparative analysis of four different surgical methods for treatment of sacrococcygeal pilonidal sinusen_US
dc.typeArticleen_US

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