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
Kaynakça
- 1. Kose E, Hasbahceci M, Tonyali H, Karagulle M. Comparative analysis of the same technique-the same surgeon approach in the surgical treatment of pilonidal sinus disease: a retrospective cohort study. Ann Surg Treat Res. 2017,93:82-7.
- 2. Velotti N, Manlgrasso M, Lauro KD, Aralmo E, Calculli F, Vertaldi S, et al. Minimally invasive pilonidal sinus treatment: A narrative review. Open Med. 2019;532-6.
- 3. Alvandipour M, Zamani MS, Ghorbani M, Charati JY, Karami MY. Ann Coloproctol 2019 May 22. https://doi.org/10.3393/ac.2018.09.27
- 4. Kartal A, Aydin HO, Oduncu M, Ferhatoglu MF, Kivilcim T, Filiz AI. Comparison of three surgical techniques in pilonidal sinus surgery. Prague Med Rep. 2018;4:148-55.
- 5. Karaca T, Yoldaş O, Bilgin BC, Ozer S, Yoldaş S, Karaca NG. Comparison of short-term results of modified Karydakis flap and modified Limberg flap for pilonidal sinus surgery. Int J Surg. 2012;10:601-6.
- 6. OliveiraAI, Barasso C, Osorio A, Pinto JC. Minimally invasive surgical treatment of pilonidal disease: Mid-term retrospective analysis of a single center. Front Pediatr. 2019;7:1-6.
- 7. Bessa SS. Comparison of short-term results between the modified Karydakis flap and the modified Limberg flap in the management of pilonidal sinus disease: a randomized controlled study. Dis Colon Rectum. 2013;56:491-8.
- 8. Rabie ME, Refeidi AA, Haizaee A, Hilal S, Ajmi H, Amri AA. Sacrococcygeal pilonidal disease: sinotomy versus excisional surgery, a retrospective study. ANZ J Surg. 2007;77:177-80.
- 9. Al-Naami MY. Outpatient pilonidal sinotomy complemented with good wound and surrounding skin care. Saudi Med J. 2005;26:285-8.
Öz
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 2nd
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.
Anahtar Kelimeler
Kaynakça
- 1. Kose E, Hasbahceci M, Tonyali H, Karagulle M. Comparative analysis of the same technique-the same surgeon approach in the surgical treatment of pilonidal sinus disease: a retrospective cohort study. Ann Surg Treat Res. 2017,93:82-7.
- 2. Velotti N, Manlgrasso M, Lauro KD, Aralmo E, Calculli F, Vertaldi S, et al. Minimally invasive pilonidal sinus treatment: A narrative review. Open Med. 2019;532-6.
- 3. Alvandipour M, Zamani MS, Ghorbani M, Charati JY, Karami MY. Ann Coloproctol 2019 May 22. https://doi.org/10.3393/ac.2018.09.27
- 4. Kartal A, Aydin HO, Oduncu M, Ferhatoglu MF, Kivilcim T, Filiz AI. Comparison of three surgical techniques in pilonidal sinus surgery. Prague Med Rep. 2018;4:148-55.
- 5. Karaca T, Yoldaş O, Bilgin BC, Ozer S, Yoldaş S, Karaca NG. Comparison of short-term results of modified Karydakis flap and modified Limberg flap for pilonidal sinus surgery. Int J Surg. 2012;10:601-6.
- 6. OliveiraAI, Barasso C, Osorio A, Pinto JC. Minimally invasive surgical treatment of pilonidal disease: Mid-term retrospective analysis of a single center. Front Pediatr. 2019;7:1-6.
- 7. Bessa SS. Comparison of short-term results between the modified Karydakis flap and the modified Limberg flap in the management of pilonidal sinus disease: a randomized controlled study. Dis Colon Rectum. 2013;56:491-8.
- 8. Rabie ME, Refeidi AA, Haizaee A, Hilal S, Ajmi H, Amri AA. Sacrococcygeal pilonidal disease: sinotomy versus excisional surgery, a retrospective study. ANZ J Surg. 2007;77:177-80.
- 9. Al-Naami MY. Outpatient pilonidal sinotomy complemented with good wound and surrounding skin care. Saudi Med J. 2005;26:285-8.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Cerrahi |
| Bölüm | Orjinal Makale |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2019 |
| Yayımlandığı Sayı | Yıl 2019 |