Pilonidal sinüs cerrahisinde etkin minimal invaziv bir yöntem: Sinüsotomi

Öz

Amaç: Pilonidal sinüs sık karşılaşılan bir hastalıktır. Cerrahi sonrası ağrı, hareket kısıtlılığı, günlük işe dönüş ve rekürrens önemli sorunlardır. Bu çalışmanın amacı, pilonidal sinüs hastalığı nedeniyle sinüsotomi yöntemi ile ameliyat edilen hastalarda ameliyat sonrası sonuçlarını değerlendirmektir.

Yöntemler: Bu çalışma, 2016 ve 2019  yılları arasında pilonidal sinüs hastalığı nedeniyle sinüsotomi metodu ile tedavi edilen hastalarda retrospektif olarak yapıldı. Sinüsotomi yapılan 83 hastanın verileri hastane kayıtları ile gözden geçirildi. Yaş, cinsiyet, semptom süresi, pit sayısı, ameliyat süresi, ameliyat sonrası 2.gün VAS ağrı skoru ve rekürrens oranları incelendi.

Bulgular: Hastaların 78’i (94%) erkek, 5’i (6%) kadındı. Ortalama yaş 26,6 (15-42) yıl ve ortalama semptom süresi 4.6 (1-20) aydı. Ortalama pit sayısı 3.2 (1-13), ortalama ameliyat süresi 9.1(5-21) dakika, 2.gün ortalama VAS ağrı skoru 0.6 (0-2) idi. Ortalama iyileşme süresi 4.01 (2-11) haftaydı. 2 hastada (2,4%) rekürrens izlendi.

Sonuç: Sinusotomi, pilonidal sinus cerrrahisinde kullanılabilecek güvenli ve etkin bir minimal invaziv yöntem olabilir. Bununla beraber, diğer tekniklerle karşılaştırmalı prospektif çalışmalara ihtiyaç vardır. 

Anahtar Kelimeler

• Pilonidal sinüs hastalığı,cerrahi,sinüsotomi

An effective minimal invasive method in pilonidal sinus surgery: Sinusotomy

Abstract

Aim: Pilonidal sinus is a common disease. Postoperative pain, limitation of movement, return to daily routine and recurrence are major problems. The aim of this study was to evaluate the postoperative outcomes of patients operated with sinusotomy for pilonidal sinus disease.       

Methods: This study was performed retrospectively between 2016 and 2019 in patients treated with sinusotomy for pilonidal sinus disease. Data of 83 patients who underwent sinusotomy were reviewed with hospital records. Age, sex, symptom duration, pit count, operation time, postoperative 2^nd day VAS pain score and recurrence rates were evaluated.

Results: 78 (94%) patients were male and 5 (6%) were female. The mean age was 26.6 (15-42) years and the mean symptom duration was 4.6 (1-20) months. Mean pit count was 3.2 (1-13), mean operative time was 9.1(5-21) minutes, mean VAS pain score was 0.6 (0-2) on the second day. Mean healing time was 4.01 (2-11) weeks. Recurrence was observed in 2 patients (2.4%).

Conclusion: Sinusotomy is a safe and effective minimally invasive method that may be used in pilonidal sinus surgery. However, comparative prospective studies with other techniques are needed.

Keywords

• Pilonidal sinus disease,surgery,sinusotomy

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