| V-Y advancement flap closures for complicated pilonidal sinus disease. | |
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MedLine Citation:
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PMID: 15747127 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND AIMS: 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. PATIENT AND METHODS: 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). RESULTS: 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. INTERPRETATION AND CONCLUSION: 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. |
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Authors:
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Huseyin Berkem; Serdar Topaloglu; Hakan Ozel; Fatih M Avsar; Yigit Yildiz; Bulent C Yuksel; Suleyman Hengirmen; Nusret Akyurek |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial Date: 2005-03-04 |
Journal Detail:
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Title: International journal of colorectal disease Volume: 20 ISSN: 0179-1958 ISO Abbreviation: Int J Colorectal Dis Publication Date: 2005 Jul |
Date Detail:
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Created Date: 2005-06-16 Completed Date: 2005-11-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8607899 Medline TA: Int J Colorectal Dis Country: Germany |
Other Details:
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Languages: eng Pagination: 343-8 Citation Subset: IM |
Affiliation:
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First Department of Surgery, Ankara Numune Training and Research Hospital, 06100, Sihhiye, Ankara, Turkey. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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