Comparison of Primary Closure, Secondary Closure, and Limberg Flap in the Surgical Treatment of Pilonidal Cysts.

Autor: Maghsudi H; Hemmat Maghsudi, MD, was a professor at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Hojjat Almasi, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Ehsan Mousavai Toomatari, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Masoud Fasihi, MD, is an assistant professor at General Surgery Department, Imam Khomeini Hospital, Faculty of Medicine, Ilam University of Medical Sciences, Tehran, Iran.; Sara Akhavan Salamat, MD, is a resident of anesthesia at Anesthesiology Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Babak Mousavi Toomatari, MD, is an assistant professor at Department of General Surgery, Zanjan University of Medical Sciences, Zanjan, Iran.; Mehdi Hemmati, MD, is a resident of internal medicine at Department of Medicine, Medstar Health (Baltimore)/Medstar Georgetown University Hospital, Washington, DC., Almasi H; Hemmat Maghsudi, MD, was a professor at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Hojjat Almasi, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Ehsan Mousavai Toomatari, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Masoud Fasihi, MD, is an assistant professor at General Surgery Department, Imam Khomeini Hospital, Faculty of Medicine, Ilam University of Medical Sciences, Tehran, Iran.; Sara Akhavan Salamat, MD, is a resident of anesthesia at Anesthesiology Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Babak Mousavi Toomatari, MD, is an assistant professor at Department of General Surgery, Zanjan University of Medical Sciences, Zanjan, Iran.; Mehdi Hemmati, MD, is a resident of internal medicine at Department of Medicine, Medstar Health (Baltimore)/Medstar Georgetown University Hospital, Washington, DC., Mousavai Toomatari SE; Hemmat Maghsudi, MD, was a professor at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Hojjat Almasi, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Ehsan Mousavai Toomatari, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Masoud Fasihi, MD, is an assistant professor at General Surgery Department, Imam Khomeini Hospital, Faculty of Medicine, Ilam University of Medical Sciences, Tehran, Iran.; Sara Akhavan Salamat, MD, is a resident of anesthesia at Anesthesiology Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Babak Mousavi Toomatari, MD, is an assistant professor at Department of General Surgery, Zanjan University of Medical Sciences, Zanjan, Iran.; Mehdi Hemmati, MD, is a resident of internal medicine at Department of Medicine, Medstar Health (Baltimore)/Medstar Georgetown University Hospital, Washington, DC., Fasihi M; Hemmat Maghsudi, MD, was a professor at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Hojjat Almasi, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Ehsan Mousavai Toomatari, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Masoud Fasihi, MD, is an assistant professor at General Surgery Department, Imam Khomeini Hospital, Faculty of Medicine, Ilam University of Medical Sciences, Tehran, Iran.; Sara Akhavan Salamat, MD, is a resident of anesthesia at Anesthesiology Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Babak Mousavi Toomatari, MD, is an assistant professor at Department of General Surgery, Zanjan University of Medical Sciences, Zanjan, Iran.; Mehdi Hemmati, MD, is a resident of internal medicine at Department of Medicine, Medstar Health (Baltimore)/Medstar Georgetown University Hospital, Washington, DC., Akhavan Salamat S; Hemmat Maghsudi, MD, was a professor at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Hojjat Almasi, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Ehsan Mousavai Toomatari, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Masoud Fasihi, MD, is an assistant professor at General Surgery Department, Imam Khomeini Hospital, Faculty of Medicine, Ilam University of Medical Sciences, Tehran, Iran.; Sara Akhavan Salamat, MD, is a resident of anesthesia at Anesthesiology Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Babak Mousavi Toomatari, MD, is an assistant professor at Department of General Surgery, Zanjan University of Medical Sciences, Zanjan, Iran.; Mehdi Hemmati, MD, is a resident of internal medicine at Department of Medicine, Medstar Health (Baltimore)/Medstar Georgetown University Hospital, Washington, DC., Mousavi Toomatari SB; Hemmat Maghsudi, MD, was a professor at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Hojjat Almasi, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Ehsan Mousavai Toomatari, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Masoud Fasihi, MD, is an assistant professor at General Surgery Department, Imam Khomeini Hospital, Faculty of Medicine, Ilam University of Medical Sciences, Tehran, Iran.; Sara Akhavan Salamat, MD, is a resident of anesthesia at Anesthesiology Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Babak Mousavi Toomatari, MD, is an assistant professor at Department of General Surgery, Zanjan University of Medical Sciences, Zanjan, Iran.; Mehdi Hemmati, MD, is a resident of internal medicine at Department of Medicine, Medstar Health (Baltimore)/Medstar Georgetown University Hospital, Washington, DC., Hemmati M; Hemmat Maghsudi, MD, was a professor at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Hojjat Almasi, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Ehsan Mousavai Toomatari, MD, is a surgeon at General Surgery Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Masoud Fasihi, MD, is an assistant professor at General Surgery Department, Imam Khomeini Hospital, Faculty of Medicine, Ilam University of Medical Sciences, Tehran, Iran.; Sara Akhavan Salamat, MD, is a resident of anesthesia at Anesthesiology Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Seyed Babak Mousavi Toomatari, MD, is an assistant professor at Department of General Surgery, Zanjan University of Medical Sciences, Zanjan, Iran.; Mehdi Hemmati, MD, is a resident of internal medicine at Department of Medicine, Medstar Health (Baltimore)/Medstar Georgetown University Hospital, Washington, DC.
Jazyk: angličtina
Zdroj: Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses [Plast Surg Nurs] 2020 Apr/Jun; Vol. 40 (2), pp. 81-85.
DOI: 10.1097/PSN.0000000000000297
Abstrakt: There are few studies comparing methods for pilonidal cyst closure. This study was conducted to compare simple surgical closure, secondary healing, and closure using a Limberg flap in the treatment of patients affected with pilonidal cysts. In total, 150 patients with pilonidal cysts were selected and randomized into 3 groups, with 50 participants in each group. Group A underwent primary closure, Group B underwent secondary closure, and Group C underwent closure with a Limberg flap. Operating time, amount of pain after surgery, time to mobilization, time until return to work, time for complete healing, time until being able to sit on the toilet without pain, postoperative complications including infection and recurrence, and seroma and edema after surgery were compared among the 3 groups. Duration of surgery in the Limberg flap group was significantly longer than the duration of surgery in Group A or Group B (p < .001). The time to patient mobilization, the time when the patient returned to work, the time to complete healing, and the time to being able to sit on the toilet without pain were significantly shorter in Group C than in Group A or Group B (p < .001). Although the procedure takes longer when using a Limberg flap, it appears to be a more effective method in the surgical treatment of patients with pilonidal cyst because of the reduced healing time and improved functional status after the procedure.
Databáze: MEDLINE
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