Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Comparison of three different surgical treatment methods,semi-openclosure, primary repair, and rotational flap for pilonidal sinus

Mon Oct 3 22:09:41 2022

(2020) Comparison of three different surgical treatment methods,semi-openclosure, primary repair, and rotational flap for pilonidal sinus. Surgical Practice. p. 7. ISSN 1744-1625

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Abstract

Background: Pilonidal sinus disease is a common infectious process that occurs on the natal cleft and sacrococcygeal part. The treatment of pilonidal sinus disease remains challenging and despite the existence of many non-surgical and surgical methods, there is no consensus for the best treatment for this disease. Objective: The goal of this study is to investigate the outcomes of pilonidal sinus surgery by three methods of semi-open, primary repair, and elliptical rotational flap. Methodology : This prospective randomized study was conducted on patients suffering from primary pilonidal sinus. The patients were randomly assigned to one of the three groups based on surgical technique, were followed according to a checklist within the first, second and fourth weeks, as well as third and sixth months after surgery. Follow up was done in terms of recurrence, surgical complications, post-operative pain, and duration of hospitalization. Results: One hundred forty-six patients completed the study, including 21 women and 125 men. The mean age of patients was 26.56 +/- 5 years. There was only one case of recurrence and the rate of post-operative haematoma and infection were not significant between groups, while the rate of itching problem was significantly different (P-value = .001). The highest degree of itching, haematoma and infection were in the semi-open, rotational flap and primary repair group, respectively. The mean duration of pain relief and time of hospitalization were 25.73 +/- 11.36 hours and 4.41 +/- 1.56 days, respectively, which were significantly different between groups. The longest mean duration of pain relief and hospitalization were in primary repair and semi-open group, respectively. Conclusions: Elliptical rotational flap is preferred to the other two methods due to less pain, lower recurrence rate after surgery and early return of patients to the economic cycle.

Item Type: Article
Creators:
CreatorsEmail
Enshaei, A.UNSPECIFIED
Amestejani, M.UNSPECIFIED
Yousefiazar, A.UNSPECIFIED
Rouhani, R.UNSPECIFIED
Sayyadi, H.UNSPECIFIED
Rezaei, S.UNSPECIFIED
Vafaeiardeh, S.UNSPECIFIED
Ghanizadeh, L.UNSPECIFIED
Keywords: pilonidal sinus primary repair rotational flap semi-open surgery surgery outcomes modified limberg flap primary closure excision disease Surgery
Divisions:
Page Range: p. 7
Journal or Publication Title: Surgical Practice
Journal Index: ISI
Identification Number: https://doi.org/10.1111/1744-1633.12455
ISSN: 1744-1625
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3182

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