Pilonidal Sinüs Cerrahi Tedavisinde V-Y İlerletme Flebi Tekniği İle Primer Onarım Tekniğinin Karşılaştırılması, Beş Yıllık Sonuçlarımız
Yükleniyor...
Dosyalar
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Pilonidal sinüs hastalığı cerrahinin problemli konularından biridir. Farklı cerrahi tedavi yöntemleri tanımlanmış olmakla birlikte postoperatif morbidite ve düşük hasta memnuniyeti sebebiyle ideal bir yöntem henüz tanımlanmamıştır. Çalışmamızda, pilonidal sinüsün cerrahi tedavisinde primer onarım yöntemi ile V-Y fleb yöntemi ile tedavi edilen olguları morbidite ve nüks yönünden karşılaştırıdık. Günümüzde pilonidal sinüsün tedavisinde en sık kullanılan primer onarım yönteminin postoperatif yüksek morbidite ve sık nüks görülmesi nedeniyle V-Y flebin alternatif tedavi olup olamayacağını araştırmayı amaçladık. Materyal ve Metot: 01Nisan 2014- 31.04.2019 tarihleri arasında Çorlu Devlet Hastanesi ve Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesinde pilonidal sinüs hastalığı nedeniyle ameliyat edilmiş 250 hasta retrospektif olarak incelendi. Bulgular: 155 hastaya primer onarım (Grup I), 95 hastaya V-Y ilerletme flebi uygulandı (Grup II). Grup I yaş ortalaması 26.083, Grup II yaş ortalaması: 28.073. Ortalama takip süresi V-Y ilerletme flebinde 34.242 ay primer kapamada ise 36.348 ay idi. Grup I’de 13(%8.387) hastada seroma, grup II’de 2(%2.105) hastada seroma gözlendi. Yara enfeksiyonu Grup I’de 15 (%9.677), grup II’de 2(%2.105) hastada görüldü. Grup I’de 9(%5.806) hastada yara ayrışması görüldü. Grup II’de 1(%1.052) hastada yara ayrışması görüldü. Grup I’de 18 hastada (%11.612) nüks görüldü. Grup II’de 4 hastada (%4.21) nüks görüldü. İyileşme süresi ortalama olarak Grup I ‘de 16.04 gün Grup II’de 14.49 gün olarak tesbit edildi. Sonuç: V-Y ilerletme flebi tekniği primer onarım tekniğine göre daha az postoperatif komplikasyona neden olmakta, nüks’ün daha az olması, kolay uygulanması nedeniyle pilonidal sinüs tedavisinde tercih edilebilecek alternatif bir ameliyat yöntemi olabilir.
Aim: Pilonidal sinus disease is a problematic topic for surgery. Though different surgical treatment methods have been described, there is still no ideal method due to postoperative morbidity and low patient satisfaction. In our study, we compared the cases treated with V-Y flap method with primary repair method in surgical treatment of pilonidal sinus in terms of morbidity and recurrence. Currently, the most commonly used primary repair method for pilonidal sinus treatment has high postoperative morbidity and frequent recurrence, so we aimed to research whether the V-Y flap is an alternative treatment or not. Materials and Methods: A total of 250 patients operated for pilonidal sinus disease from 01 April 2014 to 31 April 2019 at Çorlu State Hospital and Tekirdağ Namık Kemal University Faculty of Medicine were retrospectively investigated. Results: A total of 155 patients had primary repair (Group I), while 95 patients had V-Y advancement flap applied (Group II). The mean age in Group I was 26.083 years, while the mean age in Group II was 28.073 years. The mean follow-up duration was 32.242 months for V-Y advancement flap and 36.348 months for primary closure. In Group I, 13 patients (8.387%) had seroma, while in Group II 2 patients (2.105%) were observed to have seroma. Wound infection was observed in 15 patients in Group I (9.677%) and 2 patients in Group II (2.105%). In Group I, 9 patients (5.806%) were observed to have wound separation, while in Group II, 1 patient (1.052%) had wound separation observed. Recurrence was observed in 18 patients (11.612%) in Group I. In Group II, 4 patients (4.21%) were observed to have recurrence. The mean healing duration was identified as 16.04 days in Group I and 14.49 days in Group II. Conclusion: The V-Y advancement flap technique causes fewer postoperative complications, less recurrence and is more easily performed compared to the primary repair technique, and may be an alternative operation method that can be chosen for pilonidal sinus treatment.
Aim: Pilonidal sinus disease is a problematic topic for surgery. Though different surgical treatment methods have been described, there is still no ideal method due to postoperative morbidity and low patient satisfaction. In our study, we compared the cases treated with V-Y flap method with primary repair method in surgical treatment of pilonidal sinus in terms of morbidity and recurrence. Currently, the most commonly used primary repair method for pilonidal sinus treatment has high postoperative morbidity and frequent recurrence, so we aimed to research whether the V-Y flap is an alternative treatment or not. Materials and Methods: A total of 250 patients operated for pilonidal sinus disease from 01 April 2014 to 31 April 2019 at Çorlu State Hospital and Tekirdağ Namık Kemal University Faculty of Medicine were retrospectively investigated. Results: A total of 155 patients had primary repair (Group I), while 95 patients had V-Y advancement flap applied (Group II). The mean age in Group I was 26.083 years, while the mean age in Group II was 28.073 years. The mean follow-up duration was 32.242 months for V-Y advancement flap and 36.348 months for primary closure. In Group I, 13 patients (8.387%) had seroma, while in Group II 2 patients (2.105%) were observed to have seroma. Wound infection was observed in 15 patients in Group I (9.677%) and 2 patients in Group II (2.105%). In Group I, 9 patients (5.806%) were observed to have wound separation, while in Group II, 1 patient (1.052%) had wound separation observed. Recurrence was observed in 18 patients (11.612%) in Group I. In Group II, 4 patients (4.21%) were observed to have recurrence. The mean healing duration was identified as 16.04 days in Group I and 14.49 days in Group II. Conclusion: The V-Y advancement flap technique causes fewer postoperative complications, less recurrence and is more easily performed compared to the primary repair technique, and may be an alternative operation method that can be chosen for pilonidal sinus treatment.
Açıklama
Anahtar Kelimeler
Kaynak
Namık Kemal Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
1
