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Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study

BACKGROUND: This study aimed to assess treatment outcomes of the cleft lift procedure and V-Y flap technique in the treatment of recurrent pilonidal sinus disease (PSD). MATERIAL/METHODS: A total of 51 patients who underwent cleft lift procedure and 43 patients who underwent fasciocutaneous V-Y flap...

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Autores principales: Koca, Yavuz Savas, Yildiz, Ihsan, Okur, Selahittin Koray, Saricik, Bekir, Uğur, Mustafa, Bulbul, Mustafa Tevfik, Uslusoy, Fuat, Barut, İbrahim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5808114/
https://www.ncbi.nlm.nih.gov/pubmed/29397396
http://dx.doi.org/10.12659/MSM.907398
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author Koca, Yavuz Savas
Yildiz, Ihsan
Okur, Selahittin Koray
Saricik, Bekir
Uğur, Mustafa
Bulbul, Mustafa Tevfik
Uslusoy, Fuat
Barut, İbrahim
author_facet Koca, Yavuz Savas
Yildiz, Ihsan
Okur, Selahittin Koray
Saricik, Bekir
Uğur, Mustafa
Bulbul, Mustafa Tevfik
Uslusoy, Fuat
Barut, İbrahim
author_sort Koca, Yavuz Savas
collection PubMed
description BACKGROUND: This study aimed to assess treatment outcomes of the cleft lift procedure and V-Y flap technique in the treatment of recurrent pilonidal sinus disease (PSD). MATERIAL/METHODS: A total of 51 patients who underwent cleft lift procedure and 43 patients who underwent fasciocutaneous V-Y flap technique were evaluated. The demographic characteristics, previous operations, duration of symptoms, perioperative complications, duration of operation and hospital stay, duration of draining of all patients, and recurrence of PSD were recorded. RESULTS: The mean operation time was 35.61±5.254 min in the cleft lift group (CLG) and 57.42±7.327 min in the V-Y flap group (VYFG) (p=0.001). No wound dehiscence was found in the VYFG and 5 patients (9.8%) had wound dehiscence in the CLG (p=0.035). Draining time was 1.39±0.603 days in the CLG and 2.79±0.638 days in VYFG (p=0.001). The mean hospital stay was 1.75±0.523 days in the CLG and 3.77±1.02 days in the VYFG (p=0.001). Two patients (3.9%) in the CLG had recurrence and no recurrence was reported in the VYFG (p=0.189) in the given time interval. CONCLUSIONS: Both methods in treatment of recurrent PSD can be preferred because of low complication and recurrence rates. Because no recurrence was found after the V-Y flap technique, it appears to be a preferable method despite some disadvantages.
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spelling pubmed-58081142018-02-14 Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study Koca, Yavuz Savas Yildiz, Ihsan Okur, Selahittin Koray Saricik, Bekir Uğur, Mustafa Bulbul, Mustafa Tevfik Uslusoy, Fuat Barut, İbrahim Med Sci Monit Clinical Research BACKGROUND: This study aimed to assess treatment outcomes of the cleft lift procedure and V-Y flap technique in the treatment of recurrent pilonidal sinus disease (PSD). MATERIAL/METHODS: A total of 51 patients who underwent cleft lift procedure and 43 patients who underwent fasciocutaneous V-Y flap technique were evaluated. The demographic characteristics, previous operations, duration of symptoms, perioperative complications, duration of operation and hospital stay, duration of draining of all patients, and recurrence of PSD were recorded. RESULTS: The mean operation time was 35.61±5.254 min in the cleft lift group (CLG) and 57.42±7.327 min in the V-Y flap group (VYFG) (p=0.001). No wound dehiscence was found in the VYFG and 5 patients (9.8%) had wound dehiscence in the CLG (p=0.035). Draining time was 1.39±0.603 days in the CLG and 2.79±0.638 days in VYFG (p=0.001). The mean hospital stay was 1.75±0.523 days in the CLG and 3.77±1.02 days in the VYFG (p=0.001). Two patients (3.9%) in the CLG had recurrence and no recurrence was reported in the VYFG (p=0.189) in the given time interval. CONCLUSIONS: Both methods in treatment of recurrent PSD can be preferred because of low complication and recurrence rates. Because no recurrence was found after the V-Y flap technique, it appears to be a preferable method despite some disadvantages. International Scientific Literature, Inc. 2018-02-04 /pmc/articles/PMC5808114/ /pubmed/29397396 http://dx.doi.org/10.12659/MSM.907398 Text en © Med Sci Monit, 2018 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Clinical Research
Koca, Yavuz Savas
Yildiz, Ihsan
Okur, Selahittin Koray
Saricik, Bekir
Uğur, Mustafa
Bulbul, Mustafa Tevfik
Uslusoy, Fuat
Barut, İbrahim
Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study
title Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study
title_full Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study
title_fullStr Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study
title_full_unstemmed Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study
title_short Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study
title_sort comparison of unilateral fasciocutaneous v-y flap technique with cleft lift procedure in the treatment of recurrent pilonidal sinus disease: a retrospective clinical study
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5808114/
https://www.ncbi.nlm.nih.gov/pubmed/29397396
http://dx.doi.org/10.12659/MSM.907398
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