Sacrococcygeal Pilonidal Sinus

Year 2008, Volume: 15 Issue: 4, 299 - 305, 01.08.2008

Osman Yıldırım Ümit Turan Bülent Ünal Vedat Kırımlıoğlu

Abstract

Pilonidal sinus is a well known disease and has different of treatment options. Since it is mostly seen in young adults, it usually causes working days lost. The ideal results haven't been reached yet by any treatment method. Ideal treatment should be easily applicable and have a low complication rate. Medical treatment options are sclerotherapy, cryosurgery,and collagenase application. In surgical treatment; open methods such as excision and to lay open, marsupialization, incision and curettage, or closed methods such as vertical excision and primary closure, oblique excision and primary closure, Karydakis procedure, rhomboid excision and Limberg procedure, plastic prosedures have been used. Surgical treatments (especially flap methods) are widely preferred. Key words: Sacrococcygeal pilonidal sinus

Keywords

Sacrococcygeal pilonidal sinus

Sakrokoksigeal Pilonidal Sinüs

Abstract

Pilonidal sinüs uzun zamandan beri bilinen ve çok çeşitli tedavi yöntemleri olan bir hastalıktır. Hastalık daha çok genç erişkinleri etkilediğinden önemli oranda iş gücü kaybına neden olmaktadır. Günümüze kadar uygulanan hiçbir yöntemde ideal sonuçlara ulaşılamamıştır. İdeal tedavi yöntemi kolay uygulanabilir ve komplikasyon oranı düşük olmalıdır. Medikal tedavi seçenekleri sklerozan enjeksiyonu, kriyocerrahi, kollejenaz uygulamasıdır. Cerrahi tedavide ise eksizyon ve açık bırakma, marsupializasyon, insizyon ve küretaj gibi açık yöntemler; vertikal eksizyon ve primer kapama, oblik eksizyon ve primer kapama, Karydakis yöntemi, romboid eksizyon ve Limberg prosedürü ve plastik prosedürler gibi kapalı yöntemler kullanılmaktadır. Tedavide cerrahi yöntemler (özellikle flepli olanlar) daha çok tercih edilmektedir. Anahtar kelimeler: Sakrokoksigeal pilonidal sinüs

Keywords

Sakrokoksigeal pilonidal sinüs

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