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Surgical Treatment of Sacrococcygeal Pilonidal Disease

Yıl 2013, Cilt: 22 Sayı: 4, 486 - 498, 01.12.2013

Öz

Pilonidal disease is usually observed in the sacrococcygeal region of young male adults. Because of the absence of a consensus on the treatment of the disease, high recurrence rates, high direct and indirect cost and need for a long wound care, it is a highly reputable disease. High incidence rates in the working population along with high recurrence rates led the surgeons to focus on the treatment of the disease intensely. In this article, the surgical treatment option for sacrococcygeal pilonidal disease has been briefly reviewed.

Kaynakça

  • Da Silva JH. Pilonidalcyst: cause and treatment. Dis Colon Rectum. 2000; 43:1146–56. Papaconstantinou HT, Thomas JS. Pilonidal disease and hidradenitissuppurativa. In The ASCRS Textbook of Colon and Rectal Surgery: 2nd ed. (E David, L PatriciaL, RT Saclarides, J Anthony, JS Michael, DS Steven): 261-9. New York, Springer, 2011
  • Bascom J. Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery. 1980; 87:567-72.
  • Lord PH, Millar DM. Pilonidal sinus a simple treatment. Br J Surg. 1965; 52:299-300.
  • Senapati A, Cripps NP, Thompson MR. Bascom's operation in the day-surgical management of symptomatic pilonidal sinus. Br J Surg. 2000; 87:1067-70.
  • Gencosmanoglu R, Inceoglu R. Modified lay-open (incision, curettage, partial lateral wall excision and marsupialization) versus total excision with primary closure in the treatment of chronic sacrococcygeal pilonidal sinus. Int J Colorectal Disease. 2005; 20:415-22.
  • Fazeli MS, Adel MG, Abaschi AH. Comparison of outcomes in Z-plasty and delayed healing by secondary intention of the wound after excision of the sacral pilonidal sinus: results of a randomized, clinical trial. Dis Colon Rectum. 2006; 49:1831-6.
  • Jamal A, Shamim, M, Hashim F, Quershi M. Open excision with secondary healing versus rhomboid excision with Limberg transposition flap in the management of Sacrococcygeal Disease. J Pakistan Med Assoc. 2009; 59:157-60.
  • Füzün M, Bakir H, Soylu M, Tansu, T, Kamak E, Harmancioglu O. Which technique for treatment of pilonidal sinus--open or closed?. Dis Colon Rectum. 1994; 37:1148-50.
  • Kareem T. Surgical treatment of chronic sacrococcygeal pilonidal sinus Open method versus primary closure. Saudi Med J. 2006; 27:1534-7.
  • Sİndenaa K, Nesvik I, Andersen E, Sİreide JA. Recurrent pilonidal sinus after excision with closed or open treatment: final result of a randomised trial. Eur J Surg. 1996; 162:237-40.
  • Al-Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev. 2010; 1:CD006213. Gencosmanoglu R, Inceoglu R. Modified lay-open (Incision, Curettage, Partial lateral wall excision and Marsupialization) versus Total Excision with Primary Closure in the treatment of chronic sacrococcygeal pilonidal sinus. Intl J Colorectal Disease 2005; 20:415-22.
  • Kronborg O, Christensen K, Zimmermann-Nielsen C. Chronic pilonidal disease: a randomized trial with a complete 3-year follow-up. Br J Surg. 1985; 72:303-4. al-Hassan HK, Francis IM, Neglén P. Primary closure or secondary granulation after excision of pilonidal sinus? Acta Chirurgica Scandinavica. 1990; 156:695-9.

Sakrokoksigeal Pilonidal Sinüsün Cerrahi Tedavisi

Yıl 2013, Cilt: 22 Sayı: 4, 486 - 498, 01.12.2013

Öz

Pilonidal Sinüs hastalığı, özellikle genç erkek erişkinler gibi üreten nüfusta ve sakrokoksigeal bölgede gözlenir. Tedavisinin nasıl olacağı konusunda tam bir fikir birliği sağlanmamış olması, kronik tekrarlama ihtimalinin yüksek olması, tıbbi bakımının uzun ve ekonomik olarak da yüklü sürmesi gibi nedenlerden ötürü oldukça ilgi gören bir hastalıktır. Tekrarlama ihtimali oldukça yüksek olması ve üreten çalışan nüfusta da fazla gözlenmesi konu ile ilgili çok sayıda çalışma yapılmasına yol açmıştır. Bu yazıda sakrokoksigeal pilonidal sinus hastalığının asıl tedavisi olan cerrahi tedavi yöntemleri kısaca gözden geçirilmiştir.

Kaynakça

  • Da Silva JH. Pilonidalcyst: cause and treatment. Dis Colon Rectum. 2000; 43:1146–56. Papaconstantinou HT, Thomas JS. Pilonidal disease and hidradenitissuppurativa. In The ASCRS Textbook of Colon and Rectal Surgery: 2nd ed. (E David, L PatriciaL, RT Saclarides, J Anthony, JS Michael, DS Steven): 261-9. New York, Springer, 2011
  • Bascom J. Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery. 1980; 87:567-72.
  • Lord PH, Millar DM. Pilonidal sinus a simple treatment. Br J Surg. 1965; 52:299-300.
  • Senapati A, Cripps NP, Thompson MR. Bascom's operation in the day-surgical management of symptomatic pilonidal sinus. Br J Surg. 2000; 87:1067-70.
  • Gencosmanoglu R, Inceoglu R. Modified lay-open (incision, curettage, partial lateral wall excision and marsupialization) versus total excision with primary closure in the treatment of chronic sacrococcygeal pilonidal sinus. Int J Colorectal Disease. 2005; 20:415-22.
  • Fazeli MS, Adel MG, Abaschi AH. Comparison of outcomes in Z-plasty and delayed healing by secondary intention of the wound after excision of the sacral pilonidal sinus: results of a randomized, clinical trial. Dis Colon Rectum. 2006; 49:1831-6.
  • Jamal A, Shamim, M, Hashim F, Quershi M. Open excision with secondary healing versus rhomboid excision with Limberg transposition flap in the management of Sacrococcygeal Disease. J Pakistan Med Assoc. 2009; 59:157-60.
  • Füzün M, Bakir H, Soylu M, Tansu, T, Kamak E, Harmancioglu O. Which technique for treatment of pilonidal sinus--open or closed?. Dis Colon Rectum. 1994; 37:1148-50.
  • Kareem T. Surgical treatment of chronic sacrococcygeal pilonidal sinus Open method versus primary closure. Saudi Med J. 2006; 27:1534-7.
  • Sİndenaa K, Nesvik I, Andersen E, Sİreide JA. Recurrent pilonidal sinus after excision with closed or open treatment: final result of a randomised trial. Eur J Surg. 1996; 162:237-40.
  • Al-Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev. 2010; 1:CD006213. Gencosmanoglu R, Inceoglu R. Modified lay-open (Incision, Curettage, Partial lateral wall excision and Marsupialization) versus Total Excision with Primary Closure in the treatment of chronic sacrococcygeal pilonidal sinus. Intl J Colorectal Disease 2005; 20:415-22.
  • Kronborg O, Christensen K, Zimmermann-Nielsen C. Chronic pilonidal disease: a randomized trial with a complete 3-year follow-up. Br J Surg. 1985; 72:303-4. al-Hassan HK, Francis IM, Neglén P. Primary closure or secondary granulation after excision of pilonidal sinus? Acta Chirurgica Scandinavica. 1990; 156:695-9.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Derleme
Yazarlar

Kazım Duman Bu kişi benim

Yavuz Özdemir Bu kişi benim

İlker Sücüllü Bu kişi benim

Mehmet Levhi Akın Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2013
Yayımlandığı Sayı Yıl 2013 Cilt: 22 Sayı: 4

Kaynak Göster

AMA Duman K, Özdemir Y, Sücüllü İ, Akın ML. Sakrokoksigeal Pilonidal Sinüsün Cerrahi Tedavisi. aktd. Aralık 2013;22(4):486-498.