Ultrasonographic Evaluation of Flap Thickness In Patients With Pilonidal Sinus - Original Article

Yıl 2018, , 505 - 510, 30.09.2018

Enis Dikicier , Fatih Altıntoprak , Mustafa Yener Uzunoğlu , Yusuf Arslan Kıyasettin Asil İsmail Zengin

https://doi.org/10.31832/smj.421130

Öz

Background and Objective: Various risk factors have been defined for recurrence in pilonidal disease. This study was designed to investigate the local subcutaneous tissue thickness in patients who were operated on for sacrococcygeal pilonidal disease.

Materials and Methods: Ninety-eight patients who had been operated on with the diagnosis of pilonidal sinus were retrospectively evaluated between January 2008 and January 2014. In evaluation of the flap thickness, the nearest and farthest margins were measured by ultrasonography between the skin and sacrum.

Results: Resection and primary closure and Limberg flap transposition were performed in 46 (46.9%) and 52 (53.1%) patients, respectively. Mean flap thickness was found to be 17.2 mm (range: 3.9 - 36.4) and 20.5 mm (range: 4.0 - 42.3) in the primary repair group and the Limberg group, respectively. The recurrence rate was 10.8% in the primary repair group, 3.8%  in the Limberg group at a mean of 27.1 months (range: 12-54 months) of follow-up.

Conclusion: Subcutaneous tissue thickness in the place of surgery was greater in patients with the Limberg flap procedure compared to the patients with primary closure in pilonidal sinus disease. Flap thickness may be a parameter that can be used to predict the possibilty of recurrence. 

Anahtar Kelimeler

Pilonidal sinus, Surgery, Limberg

Pilonidal Sinüs Nedeni ile Opere Edilen Hastalarda Flep Kalınlığının Ultrasonografik Değerlendirmesi

Öz

Amaç: Pilonidal sünis nedeni ile opere edilen hastalarda nüksün pek çok nedeni vardır. Bu çalışmanın amacı pilonidal sinüs nedeni ile limberg flep uygulanan hastalarda, flep kalınlığının hastalık tekrarına etkisini araştırmaktır.

Materyal ve Metot: Ocak 2008 ve Ocak 2014 yılları arasında pilonidal sinüs nedeni ile opere edilen 98 hastanın verileri retrospektif olarak incelendi. Flep kalınlığı deri ile sakrum arasındaki en yakın ve en uzak mesafeler ultrasonografik olarak  ölçülerek değerlendirildi.

Bulgular Limberg flep uygulanan 46 hasta (%46.9) ve rezeksiyon ve primer kapama uygulanan 52 hasta (%53.1) sonuçları geriye dönük değerlendirildi. Ortalama flep kalınlığı primer onarım grubu ve limberg flep grubunda sırası ile,17.2 mm (3.9 - 36.4 mm) ve 20.5 mm (4 -42.3 mm) olarak bulundu. Nüks oranı primer kapama grubunda %10.8 limberg flep grubunda % 3.8 olarak saptandı. Olguların ortalama takip süresi 27.1 ay (12-54 ay) olarak bulundu.

Sonuçlar: Subkutan doku kalınlığı Limberg flep uygulanan hastalarda primer kapama grubuna göre belirgin olarak fazlaydı. Flep kalınlığı pilonidal sinüs nedenli opere edilen hastalarda nüksü azaltmada önemli bir parametre olarak kullanılabilir.

Anahtar Kelimeler

Pilonidal sinüs, cerrahi, limberg

Kaynakça

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