| Minimal surgery for pilonidal disease using trephines: description of a new technique and long-term outcomes in 1,358 patients. | |
| | |
MedLine Citation:
|
PMID: 18516645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: This study describes and reports the results of a new, minimally-invasive surgical technique for pilonidal disease. METHODS: From March 1993 to January 2003, 1,358 patients (out of a total of 1,435 patients) with symptomatic pilonidal disease underwent treatment in a military surgical clinic dedicated for pilonidal disease. Patients were operated on under local anesthesia, utilizing trephines to excise pilonidal pits and to débride underlying cavities and tracts. RESULTS: One thousand three hundred fifty-eight symptomatic patients participated in the study and were mostly male (84.3 percent) and the mean age 20.9 +/- 3.6 years. Rates of postoperative infection, secondary bleeding, and early failure were 1.5, 0.2, and 4.4 percent, respectively. In patients with full postoperative clinical attendance, complete healing was observed within 3.4 +/- 1.9 weeks. Phone interview included 1,165 patients (85.8 percent) with a mean follow-up interval of 6.9 +/- 1.8 years. Recurrence rates after 1 year was 6.5 percent, 5 years was 13.2 percent, and 10 years was 16.2 percent. Mean time to recurrence was 2.7 +/- 2.6 years postoperatively. The disease-free probability estimate was 93.5 percent at one year and 86.5 percent at 5 years. CONCLUSIONS: Compared with frequently used pilonidal operations, the trephine technique is associated with a lower recurrence rate and a low postoperative morbidity rate. |
| | |
Authors:
|
Moshe Gips; Yedidia Melki; Leon Salem; Ruben Weil; Jaqueline Sulkes |
Related Documents
:
|
1485705 - Solcoderm as alternative conservative treatment for acute anal fissure: a controlled cl... 9407985 - Total abdominal colectomy and ileorectal anastomosis for inflammatory bowel disease. 12366425 - Application of imiquimod by suppositories (anal tampons) efficiently prevents recurrenc... 8365595 - The incidence of post-sphincterotomy stenosis in group ii patients with sphincter of od... 2241315 - Parietal cell vagotomy and dilatation for peptic duodenal stricture. 15370585 - Chronological changes of serum chromium levels after modern metal-on-metal total hip ar... |
Publication Detail:
|
Type: Journal Article Date: 2008-05-31 |
Journal Detail:
|
Title: Diseases of the colon and rectum Volume: 51 ISSN: 1530-0358 ISO Abbreviation: Dis. Colon Rectum Publication Date: 2008 Nov |
Date Detail:
|
Created Date: 2008-10-27 Completed Date: 2008-11-18 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: United States |
Other Details:
|
Languages: eng Pagination: 1656-62; discussion 1662-3 Citation Subset: IM |
Affiliation:
|
Pilonidal Sinus Clinic, Surgical Unit, Military Medical Facility, Zerifin, Israel. gipsm@post.tau.ac.il |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Ambulatory Surgical Procedures / instrumentation* Debridement / instrumentation* Disease-Free Survival Female Follow-Up Studies Humans Male Middle Aged Pilonidal Sinus / pathology, surgery* Recurrence Surgical Procedures, Minimally Invasive / instrumentation Treatment Outcome Trephining / instrumentation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pelvic nerve stimulation evokes nitric oxide mediated distal rectal relaxation in pigs.
Next Document: Flow cytometric analysis of DNA ploidy and S-phase fraction in primary localized myxofibrosarcoma: c...