V-Y advancement flap closures for complicated pilonidal sinus disease
Hair entry into the midline is the generally accepted theory in pilonidal sinus formation. This theory is also involved in the pathogenesis of the recurrence after different types of operations for pilonidal sinus disease. The relationship of the suture lines and the midline was evaluated in this st...
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| Veröffentlicht in: | International journal of colorectal disease 2005-07, Vol.20 (4), p.343-348 |
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| container_title | International journal of colorectal disease |
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| creator | Berkem, Huseyin Topaloglu, Serdar Ozel, Hakan Avsar, Fatih M Yildiz, Yigit Yuksel, Bulent C Hengirmen, Suleyman Akyurek, Nusret |
| description | Hair entry into the midline is the generally accepted theory in pilonidal sinus formation. This theory is also involved in the pathogenesis of the recurrence after different types of operations for pilonidal sinus disease. The relationship of the suture lines and the midline was evaluated in this study.
Thirty-four patients with stage 4 or recurrent pilonidal sinus disease who underwent V--Y advancement flap closure were randomized into two groups: vertical suture line unrelated to midline (VLUM, n=18) and vertical suture line related to midline (VLRM, n=16).
None of the patients with or without a suction drain developed flap necrosis, local haematomas or seromas. The median length of the postoperative hospital stay was 3 days for theVLRM group and the VLUM group (p>0.05). The median follow-up period was 32 months. During the follow-up period, two recurrences were determined 22 and 15 months after operation in the VLRM group. Recurrences were situated in the scar tissue over the midline.
Routine application of suction drains is not recommended after V--Y advancement flap closure. Avoidance of the relationship of the postoperative suture line and the midline, if possible, offers a safe method of definitive reconstruction. |
| doi_str_mv | 10.1007/s00384-004-0699-9 |
| format | Article |
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Thirty-four patients with stage 4 or recurrent pilonidal sinus disease who underwent V--Y advancement flap closure were randomized into two groups: vertical suture line unrelated to midline (VLUM, n=18) and vertical suture line related to midline (VLRM, n=16).
None of the patients with or without a suction drain developed flap necrosis, local haematomas or seromas. The median length of the postoperative hospital stay was 3 days for theVLRM group and the VLUM group (p>0.05). The median follow-up period was 32 months. During the follow-up period, two recurrences were determined 22 and 15 months after operation in the VLRM group. Recurrences were situated in the scar tissue over the midline.
Routine application of suction drains is not recommended after V--Y advancement flap closure. Avoidance of the relationship of the postoperative suture line and the midline, if possible, offers a safe method of definitive reconstruction.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-004-0699-9</identifier><identifier>PMID: 15747127</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adolescent ; Adult ; Digestive System Surgical Procedures - methods ; Female ; Hematoma - etiology ; Humans ; Male ; Middle Aged ; Necrosis ; Pilonidal Sinus - surgery ; Postoperative Complications ; Recurrence ; Surgical Flaps ; Suture Techniques ; Treatment Outcome</subject><ispartof>International journal of colorectal disease, 2005-07, Vol.20 (4), p.343-348</ispartof><rights>Springer-Verlag 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27933,27934</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15747127$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berkem, Huseyin</creatorcontrib><creatorcontrib>Topaloglu, Serdar</creatorcontrib><creatorcontrib>Ozel, Hakan</creatorcontrib><creatorcontrib>Avsar, Fatih M</creatorcontrib><creatorcontrib>Yildiz, Yigit</creatorcontrib><creatorcontrib>Yuksel, Bulent C</creatorcontrib><creatorcontrib>Hengirmen, Suleyman</creatorcontrib><creatorcontrib>Akyurek, Nusret</creatorcontrib><title>V-Y advancement flap closures for complicated pilonidal sinus disease</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><description>Hair entry into the midline is the generally accepted theory in pilonidal sinus formation. This theory is also involved in the pathogenesis of the recurrence after different types of operations for pilonidal sinus disease. The relationship of the suture lines and the midline was evaluated in this study.
Thirty-four patients with stage 4 or recurrent pilonidal sinus disease who underwent V--Y advancement flap closure were randomized into two groups: vertical suture line unrelated to midline (VLUM, n=18) and vertical suture line related to midline (VLRM, n=16).
None of the patients with or without a suction drain developed flap necrosis, local haematomas or seromas. The median length of the postoperative hospital stay was 3 days for theVLRM group and the VLUM group (p>0.05). The median follow-up period was 32 months. During the follow-up period, two recurrences were determined 22 and 15 months after operation in the VLRM group. Recurrences were situated in the scar tissue over the midline.
Routine application of suction drains is not recommended after V--Y advancement flap closure. Avoidance of the relationship of the postoperative suture line and the midline, if possible, offers a safe method of definitive reconstruction.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Female</subject><subject>Hematoma - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Necrosis</subject><subject>Pilonidal Sinus - surgery</subject><subject>Postoperative Complications</subject><subject>Recurrence</subject><subject>Surgical Flaps</subject><subject>Suture Techniques</subject><subject>Treatment Outcome</subject><issn>0179-1958</issn><issn>1432-1262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkE1LxDAYhIMobl39AV4kePAWzZtkk81RlvUDFryo4Kkk6Rvokn7YtIL_3oLrxcMwDDwMwxByCfwWODd3mXO5VozzWdpaZo9IAUoKBkKLY1JwMJaBXa0X5CznPZ-zNuqULGBllAFhCrJ9Zx_UVV-uDdhgO9KYXE9D6vI0YKaxG2jomj7VwY1Y0b5OXVtXLtFct1OmVZ3RZTwnJ9GljBcHX5K3h-3r5ontXh6fN_c71oPWI7PeCK5FRIDIvVDoReRWSmtdjMh9Jbxx3HsPFayUjBicMvNoJUJwMq7lktz89vZD9zlhHsumzgFTci12Uy61sQoE2Bm8_gfuu2lo522lAC2Vkgpm6OoATb7BquyHunHDd_n3jvwBYaZmvQ</recordid><startdate>200507</startdate><enddate>200507</enddate><creator>Berkem, Huseyin</creator><creator>Topaloglu, Serdar</creator><creator>Ozel, Hakan</creator><creator>Avsar, Fatih M</creator><creator>Yildiz, Yigit</creator><creator>Yuksel, Bulent C</creator><creator>Hengirmen, Suleyman</creator><creator>Akyurek, Nusret</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>200507</creationdate><title>V-Y advancement flap closures for complicated pilonidal sinus disease</title><author>Berkem, Huseyin ; 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This theory is also involved in the pathogenesis of the recurrence after different types of operations for pilonidal sinus disease. The relationship of the suture lines and the midline was evaluated in this study.
Thirty-four patients with stage 4 or recurrent pilonidal sinus disease who underwent V--Y advancement flap closure were randomized into two groups: vertical suture line unrelated to midline (VLUM, n=18) and vertical suture line related to midline (VLRM, n=16).
None of the patients with or without a suction drain developed flap necrosis, local haematomas or seromas. The median length of the postoperative hospital stay was 3 days for theVLRM group and the VLUM group (p>0.05). The median follow-up period was 32 months. During the follow-up period, two recurrences were determined 22 and 15 months after operation in the VLRM group. Recurrences were situated in the scar tissue over the midline.
Routine application of suction drains is not recommended after V--Y advancement flap closure. Avoidance of the relationship of the postoperative suture line and the midline, if possible, offers a safe method of definitive reconstruction.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>15747127</pmid><doi>10.1007/s00384-004-0699-9</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0179-1958 |
| ispartof | International journal of colorectal disease, 2005-07, Vol.20 (4), p.343-348 |
| issn | 0179-1958 1432-1262 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adolescent Adult Digestive System Surgical Procedures - methods Female Hematoma - etiology Humans Male Middle Aged Necrosis Pilonidal Sinus - surgery Postoperative Complications Recurrence Surgical Flaps Suture Techniques Treatment Outcome |
| title | V-Y advancement flap closures for complicated pilonidal sinus disease |
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