Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study
| Autor: | Bekir Sarıcık, Ibrahim Barut, İhsan Yıldız, Selahittin Koray Okur, Mustafa Uğur, Mustafa Tevfik Bülbül, Yavuz Savaş Koca, Fuat Uslusoy |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Treatment outcome Surgical Flaps Retrospective data 03 medical and health sciences Pilonidal Sinus 0302 clinical medicine Recurrence Clinical Research Sinus disease medicine Humans Fascia Retrospective Studies Skin Wound dehiscence business.industry Retrospective cohort study General Medicine Perioperative Plastic Surgery Procedures medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology business Complication |
| Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| ISSN: | 1643-3750 |
| Popis: | BACKGROUND This study aimed to assess treatment outcomes of the cleft lift procedure and V-Y flap technique in the treatment of recurrent pilonidal sinus disease (PSD). MATERIAL AND METHODS A total of 51 patients who underwent cleft lift procedure and 43 patients who underwent fasciocutaneous V-Y flap technique were evaluated. The demographic characteristics, previous operations, duration of symptoms, perioperative complications, duration of operation and hospital stay, duration of draining of all patients, and recurrence of PSD were recorded. RESULTS The mean operation time was 35.61±5.254 min in the cleft lift group (CLG) and 57.42±7.327 min in the V-Y flap group (VYFG) (p=0.001). No wound dehiscence was found in the VYFG and 5 patients (9.8%) had wound dehiscence in the CLG (p=0.035). Draining time was 1.39±0.603 days in the CLG and 2.79±0.638 days in VYFG (p=0.001). The mean hospital stay was 1.75±0.523 days in the CLG and 3.77±1.02 days in the VYFG (p=0.001). Two patients (3.9%) in the CLG had recurrence and no recurrence was reported in the VYFG (p=0.189) in the given time interval. CONCLUSIONS Both methods in treatment of recurrent PSD can be preferred because of low complication and recurrence rates. Because no recurrence was found after the V-Y flap technique, it appears to be a preferable method despite some disadvantages. |
| Databáze: | OpenAIRE |
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