Which surgical procedure offers the best treatment for pilonidal disease?
| Autor: | Barış Saylam, Faruk Coşkun, M Vasfi Ozer, Arife Polat Düzgün, Derya Nurhan Balli |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Disease Surgical Flaps Young Adult Pilonidal Sinus Surgical Wound Dehiscence Secondary Prevention medicine Humans Surgical Wound Infection Prospective Studies Prospective cohort study Wound Healing business.industry Suture Techniques Middle Aged Vascular surgery Surgery Cardiac surgery Outcome and Process Assessment Health Care Cardiothoracic surgery Concomitant Female Sick Leave business Body mass index Follow-Up Studies Abdominal surgery |
| Zdroj: | Langenbeck's Archives of Surgery. 396:651-658 |
| ISSN: | 1435-2451 1435-2443 |
| Popis: | Our aim was to determine the most effective surgical procedure for treatment of pilonidal disease, by comparing different surgical techniques. A total of 354 patients who underwent operation for pilonidal disease were enrolled in this prospective study. The data included patient’s demographic characteristics, age, gender, body mass index, occupation, smoking, concomitant diseases, surgeon’s experience, wound-healing problems (wound separation and infection), time to return to work, and development of recurrence. Of the 354 patients, total excision + primary closure was performed in 133 (37.6%), D-flap in 101 (28.5%), Karydakis technique in 74 (20.9%), and Limberg flap surgery in 46 (13%). The male/female ratio was 8.5:1, which is a statistically significant difference (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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