SavedAdd your journal

Journals / Bakırköy Tıp Dergisi / 2019 / Cilt: 15 - Sayı: 3

The Effects of Pilonidal Sinus Morphology on Surgical Selection

Pilonidal Sinüs Morfolojisinin Cerrahi Seçim Üzerindeki Etkileri

Alpen Yahya GÜMÜŞOĞLU
Süphan ERTÜRK
Pages
259–264
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The Limberg flap region and surgical margin were significantly higher than the other three surgical groups (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In this study we aimed to reveal the morphological parameters which are taken into account when determining the surgical technique and to define an algorithm to determine the surgical procedure for future patients, based on the histopathological data of patients who underwent surgical treatment for pilonidal disease, retrospectively.Methods: In this study histopathology reports of 594 patients who were operated by different surgeons between 2007 and 2011 at Istanbul University Cerrahpasa School of Medicine General Surgery Department were evaluated retrospectively.
📊
Key Findings & Data:Besides histopathological findings, we also researched the effects of patient age and gender on the surgical selection.Results: The Limberg flap was the most preferred method with a ratio of 68.7%.
💡
Conclusion & Impact:The Limberg flap region and surgical margin were significantly higher than the other three surgical groups (p
🔬Design:Research Article
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: In this study we aimed to reveal the morphological parameters which are taken into account when determining the surgical technique and to define an algorithm to determine the surgical procedure for future patients, based on the histopathological data of patients who underwent surgical treatment for pilonidal disease, retrospectively.Methods: In this study histopathology reports of 594 patients who were operated by different surgeons between 2007 and 2011 at Istanbul University Cerrahpasa School of Medicine General Surgery Department were evaluated retrospectively. By evaluating the histopathology reports of patients retrospectively, we acquired data on specimen size, number and radius of orifice, size of excision material and surgical margin. Besides histopathological findings, we also researched the effects of patient age and gender on the surgical selection.Results: The Limberg flap was the most preferred method with a ratio of 68.7%. The Limberg flap region and surgical margin were significantly higher than the other three surgical groups (p

Özet

Amaç: Biz bu çalışmamızda, cerrahi tedavi uygulanan pilonidal sinüs tanılı hastalarımızın histo-patolojik verilerinden yola çıkarak, kliniğimizde seçilen cerrahi tekniğin belirlenmesinde göz önüne alınan morfolojik parametreleri retrospektif olarak ortaya çıkarmayı ve ileride uygulanacak olan cerrahi girişimlerin seçiminde kullanılabilir algoritmaların oluşturulması için bir temel oluşturabilmeyi amaçladık. Yöntemler: Bu çalışmada, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Genel Cerrahi Anabilim Dalı’nda 2007 ile 2011 yılları arasında pilonidal sinüs tanısı ile farklı cerrahlar tarafından opere edilen 594 hastanın histopatoloji raporları retrospektif olarak incelendi. Piyesin boyutu, orifis sayısı ve çapı, eksizyon materyalinin boyutu, cerrahi sınır (fistül ağzının en yakın cerrahi sınıra olan mesafesi) parametreleri elde edildi. Histo-patolojik verilerin yanı sıra, hastaların yaş ve cinsiyetlerinin operasyon seçimine etkisi de araştırıldı. Bulgular: Limberg flebi ile onarım, %68,7’lik oran ile en çok tercih edilen yöntem olarak belirlendi. Limberg grubunda fleb alanı ve cerrahi sınır diğer üç ameliyat grubundan anlamlı olarak yüksek bulunmuştur (p

🔖

Cite This Article

GÜMÜŞOĞLU, A. Y., ERTÜRK, S. (2022). The Effects of Pilonidal Sinus Morphology on Surgical Selection. Bakırköy Tıp Dergisi, Cilt: 15 - Sayı: 3, 259–264. https://ajindex.com/articles/460070

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Mayo OH. Observations on injuries and disease of rectum. London: Burgess and Hill; 1833.p.45-6 (Quoted from:da Silva JH.Pilonidal cyct:cause and treatment. Dis Colon Rectum 2000;43:1146 -56. Levinson T, Sela T, Chencinski S, Derazne E, Tzur D, Elad H, et al. Pilonidal Sinus Disease: A 10-Year Review Reveals Occupational Risk Factors and the Superiority of the Minimal Surgery Trephine Technique. Mil Med 2016;181:389-94. Keighley MR. Pilonidal Sinus. In: Keighley MRB,Williams NS eds. Surgery of the Anus, Rectum & Colon 2 WB Saunders Company, London 1999;539-63. Ertürk S. Pilonidal Sinüs: Türkiye Klinikleri J Gen Surg-Special Topics 2010;3:75-83.
  2. Alemdaroğlu K, Akçal T, Buğra D. Pilonidal Hastalık. Kolon Rektum ve Anal Bölge Hastalıkları 1. Baskı, İstanbul. 2003:185-96.
  3. Aysan E, Ilhan M, Bektas H, Kaya EA, Sam B, Buyukpinarbasili N, et al. Prevalence of sacrococcygeal pilonidal sinus as a silent disease. Surg Today 2013;43:1286-9.
  4. Nivatvongs S, Gordon PH, Nivatvongs S. Principles and Practice of Surgery fort the Colon Rectum and Anus 3. Ed. Informa Healthcare USA Inc 2007;235-46. Bradley L. Pilonidal sinus disease: a review. Part one. J Wound Care 2010;19:504-8.
  5. Kapan M, Kapan S, Pekmezci S, Durgun V. Sacrococcygeal pilonidal sinus disease with Limberg flap repair. Tech Coloproctol 2002:6:27-32.
  6. Altınlı E, Karahasanoğlu T, Hamzaoğlu İ. Kronik pilonidal sinüs tedavisinde geniş tabanlı Limberg flabi. Kolon Rektum Hastalıkları Dergisi 2002;12:97-100.
  7. Özgürtekin R, Ersan Y, Özcan M, Özçelik F, Celik V, Cerçel A, et al. Therapy of pilonidal sinus with the Limberg transposition flap. Chirurg 1995;66:192-5.
  8. Iesalnieks I, Ommer A, Petersen S, Doll D, Herold A. German national guideline on the management of pilonidal disease. Langenbecks Arch Surg 2016;401:599-609.
  9. Erkent M, Şahiner İT, Bala M, Kendirci M, Yıldırım MB, Topçu R, et al. Comparison of Primary Midline Closure, Limberg Flap, and Karydakis Flap Techniques in Pilonidal Sinus Surgery.Med Sci Monit 2018;24:8959-63.
  10. Alver O, Ertürk S, Yüceyar S, Gönenç M,Şen B, Karabulut K. Retrospective Analysis of Relations Between the Anatomo-pathologic Features of Specimens and Preferred Surgical Method in Sacrococcygeal Pilonidal Sinus Disease. ISUCRS 2006, XXI. Biennial Congress of İnternational Society of the University of Colon and Rectal Surgeons, 25-28 June 2006, İstanbul-Türkiye. Abstract book, p:276. Yetişir F, Kaya O,Baran İ. Pilonidal sinüs tedavisinde marsüpializasyon ile Limberg flep yönteminin karşılaştırılması