Early results with the Mutaf technique : a novel offmidline approach in pilonidal sinus surgery :a novel offmidline approach in pilonidal sinus surgery

Musa Zorlu; İbrahim Tayfun Şahiner; Ethem Zobacı; Cem Kocak; Ahmet Çınar Yastı; Mete Dolapçı

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자료유형: 학술저널

저자정보: Musa Zorlu (Hitit University) İbrahim Tayfun Şahiner (Hitit University) Ethem Zobacı (Hitit University) Cem Kocak (Hitit University) Ahmet Çınar Yastı (Hitit University) Mete Dolapçı (Hitit University)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.90 No.5

발행연도: 2016.5

수록면: 265 - 271 (7page)

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Purpose: The objective of the present study was to compare different off-midline techniques in terms of their advantages and disadvantages.
Methods: A total of 81 patients were included in this prospective, controlled, randomized study. Patients in group 1 were treated with the Limberg flap, and patients in group 2 were treated with Mutaf technique. Patients were followed up for 9 months postsurgically and assessed at regular intervals.
Results: A total of 41 and 40 patients received surgical treatment with Limberg or Mutaf techniques, respectively. The 2 groups were similar in terms of age, gender, body mass index, and Tezel pilonidal sinus classification. Also, the 2 groups were comparable with regard to the frequency of preoperative discharge from the wound site, history of abscess formation, and the resultant antibiotic use. Early results showed similar recurrence rates and surgical-site complications between the 2 groups. Although a lower visual analogue scale score was found in group 2 at postoperative day 1, seroma persistence, time to withdrawal of surgical drains, and wound healing were more prolonged.
Conclusion: In this study, Mutaf technique was comparable to Limberg flap in the treatment of pilonidal sinus. Therefore, Mutaf technique may be offered as a viable surgical therapeutic option among off-midline closure approaches.

#Pilonidal sinus #Surgical Flaps #Surgical treatment

참고문헌 (29)

참고문헌 신청

Keskin AI, Polat Y, Duran E, Cetinkünar S, Zorlu M. Comparison of four different surgical techniques in cases with pilonidal sinus. Dicle Med J 2014;41:558-63.

McCallum IJ, King PM, Bruce J. Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and meta-analysis. BMJ 2008;336: 868-71.

Mutaf M, Bekerecioglu M, Erkutlu I, Bulut O. A new technique for closure of large meningomyelocele defects. Ann Plast Surg 2007;59:538-43.

Tezel E. A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Dis 2007;9: 575-6.

Mentes O, Bagci M, Bilgin T, Ozgul O, Ozdemir M. Limberg flap procedure for pilonidal sinus disease: results of 353 patients. Langenbecks Arch Surg 2008; 393:185-9.

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