지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.97 No.5
- 발행연도
- 2019.11
- 수록면
- 261 - 265 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Surgical excision is the preferred treatment modality for sacrococcygeal pilonidal sinus (PS). Notably, the desirable features of an ideal surgical intervention are excision with minimal tissue loss, closure without tension, and a lateral suture line. The present study aimed to investigate early outcomes of surgical excision through the inverse D (ᗡ) incision based on tissue loss, wound tension, and suture line location.
Methods: This prospective study was comprised of 80 patients with PS in whom excision of PS was performed through the ‘ᗡ’ incision to minimize tissue loss with a tensionless primary surgical wound closure. The suture line was located laterally in all patients. Early and late postoperative complications, duration of hospital stay, return to work, and recurrence rates were investigated. The mean duration of the follow-up period was 36 months.
Results: Sixty-three patients (78.8%) were male. PS in all patients was surgically removed by subcutaneous excision through a ‘ᗡ’ incision. Laterally placed surgical wounds were closed primarily with interrupted vertical mattress sutures. No general complications were encountered. Five patients (6.3%) experienced early postoperative surgical site complications. On average, the duration of hospital stay and return to work were 2.4 days and 3.8 days, respectively. Recurrence was seen in 1 case (1.3%) during the follow-up period. Satisfaction score was high in 83.8% of patients.
Conclusion: The method of sinus excision using the ‘ᗡ’ incision with a primary suture facilitates excision with minimal tissue loss and closure without tension with an off-midline suture. It is both a simple and effective surgical technique for the treatment of sacrococcygeal PS.
Methods: This prospective study was comprised of 80 patients with PS in whom excision of PS was performed through the ‘ᗡ’ incision to minimize tissue loss with a tensionless primary surgical wound closure. The suture line was located laterally in all patients. Early and late postoperative complications, duration of hospital stay, return to work, and recurrence rates were investigated. The mean duration of the follow-up period was 36 months.
Results: Sixty-three patients (78.8%) were male. PS in all patients was surgically removed by subcutaneous excision through a ‘ᗡ’ incision. Laterally placed surgical wounds were closed primarily with interrupted vertical mattress sutures. No general complications were encountered. Five patients (6.3%) experienced early postoperative surgical site complications. On average, the duration of hospital stay and return to work were 2.4 days and 3.8 days, respectively. Recurrence was seen in 1 case (1.3%) during the follow-up period. Satisfaction score was high in 83.8% of patients.
Conclusion: The method of sinus excision using the ‘ᗡ’ incision with a primary suture facilitates excision with minimal tissue loss and closure without tension with an off-midline suture. It is both a simple and effective surgical technique for the treatment of sacrococcygeal PS.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
Steele SR / 2013 / Practice parameters for the management of pilonidal disease / Dis Colon Rectum 56:1021~1027
de Parades V / 2013 / Pilonidal sinus disease / J Visc Surg 150:237~247
Cheetham M / 2012 / Lateral incision surgery for pilonidal sinus : death of a dogma / World J Surg 36:436
Sewefy AM / 2017 / Karydakis flap with compressing tieover interrupted sutures without drain versus standard karydakis for treatment of sacrococcygeal pilonidal sinus disease / Dis Colon Rectum 60:514~520
Iesalnieks I / 2015 / "Pit picking"surgery for patients with pilonidal disease : mid-term results and risk factors / Chirurg 86:482~485
de Parades V / 2013 / Pilonidal sinus disease / J Visc Surg 150:237~247
Cheetham M / 2012 / Lateral incision surgery for pilonidal sinus : death of a dogma / World J Surg 36:436
Sewefy AM / 2017 / Karydakis flap with compressing tieover interrupted sutures without drain versus standard karydakis for treatment of sacrococcygeal pilonidal sinus disease / Dis Colon Rectum 60:514~520
Iesalnieks I / 2015 / "Pit picking"surgery for patients with pilonidal disease : mid-term results and risk factors / Chirurg 86:482~485
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UCI(KEPA) : I410-ECN-0101-2019-514-001293876