Comparison of Primary Closure, Secondary Closure, and Limberg Flap in the Surgical Treatment of Pilonidal Cysts
| Autor: | Sara Akhavan Salamat, Seyed Babak Mousavi Toomatari, Hemmat Maghsudi, Seyed Ehsan Mousavai Toomatari, Mehdi Hemmati, Masoud Fasihi, Hojjat Almasi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Iran 030230 surgery Surgical Flaps Group B 03 medical and health sciences Pilonidal Sinus 0302 clinical medicine medicine Operating time Humans Closure (psychology) Limberg flap Surgical treatment Advanced and Specialized Nursing Pilonidal cyst Pain Postoperative Wound Healing business.industry Suture Techniques Middle Aged medicine.disease Surgery Medical–Surgical Nursing Patient Satisfaction 030220 oncology & carcinogenesis Seroma Female Functional status business |
| Zdroj: | Plastic Surgical Nursing. 40:81-85 |
| ISSN: | 0741-5206 |
| Popis: | 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: | OpenAIRE |
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