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 Journal of the Korean Surgical Society Vol.85 No.2
- 발행연도
- 2013.8
- 수록면
- 63 - 67 (5page)
이용수
초록· 키워드
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Purpose: In this study, we investigated whether there is a factor that can aid determi nation of the preferred technique by comparing the early and late results of two different surgical techniques for the treatment of pilonidal sinus.
Methods: The medical records of 176 patients in whom the Limberg flap (LF) or V-Y flap techniques were applied for reconstruction after the excision were evaluated retrospectively.
Results: The development rates of postoperative hematoma, wound separation, wound infection, and seroma were 2.8%, 5.1%, 5.6%, and 6.3%, respectively, while total flap necrosis was not observed in any patient. Return to daily activities was achieved after a mean of 17.1 days (13 to 21 days) days in the LF group and 32.7 days (18 to 47 days) in the V-Y flap group. During the average follow-up of 65 months (36 to 110 months), nine patients (5.1%) developed recurrent disease. There was no difference between the two groups with respect to early surgical complications (P = 0.286) or disease recurrence (P = 0.094), whereas the resumption of daily activities was longer in patients with a V-Y flap (P < 0.001).
Conclusion: The early postoperative and long-term results of the LF and V-Y flap techniques for the treatment of pilonidal sinus were similar. Because the resumption of daily activities at work is achieved later in patients undergoing the V-Y flap compared with the LF technique, patients’ employment (or position in working life) must be considered when determining the most appropriate surgical technique.
Methods: The medical records of 176 patients in whom the Limberg flap (LF) or V-Y flap techniques were applied for reconstruction after the excision were evaluated retrospectively.
Results: The development rates of postoperative hematoma, wound separation, wound infection, and seroma were 2.8%, 5.1%, 5.6%, and 6.3%, respectively, while total flap necrosis was not observed in any patient. Return to daily activities was achieved after a mean of 17.1 days (13 to 21 days) days in the LF group and 32.7 days (18 to 47 days) in the V-Y flap group. During the average follow-up of 65 months (36 to 110 months), nine patients (5.1%) developed recurrent disease. There was no difference between the two groups with respect to early surgical complications (P = 0.286) or disease recurrence (P = 0.094), whereas the resumption of daily activities was longer in patients with a V-Y flap (P < 0.001).
Conclusion: The early postoperative and long-term results of the LF and V-Y flap techniques for the treatment of pilonidal sinus were similar. Because the resumption of daily activities at work is achieved later in patients undergoing the V-Y flap compared with the LF technique, patients’ employment (or position in working life) must be considered when determining the most appropriate surgical technique.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (22)
참고문헌 신청
1. [학술지(정기간행물)] - Surrell JA. / 1994 / Pilonidal disease / Surg Clin North Am 74 : 1309 ~ 1315
2. [학술지(정기간행물)] - Karydakis GE. / 1992 / Easy and successful treatment of pilonidal sinus after explanation of its causative process / Aust N Z J Surg 62 : 385 ~ 389
3. [학술지(정기간행물)] - Daphan C / 2004 / Limberg flap repair for pilonidal sinus disease / Dis Colon Rectum 47 : 233 ~ 237
4. [학술지(정기간행물)] - Akinci OF / 2000 / Simple and effective surgical treatment of pilonidal sinus: asymmetric excision and primary closure using suction drain and subcuticular skin closure / Dis Colon Rectum 43 : 701 ~ 706
5. [학술지(정기간행물)] - al-Hassan HK / 1990 / Primary closure or secondary granulation after excision of pilonidal sinus? / Acta Chir Scand 156 : 695 ~ 699
2. [학술지(정기간행물)] - Karydakis GE. / 1992 / Easy and successful treatment of pilonidal sinus after explanation of its causative process / Aust N Z J Surg 62 : 385 ~ 389
3. [학술지(정기간행물)] - Daphan C / 2004 / Limberg flap repair for pilonidal sinus disease / Dis Colon Rectum 47 : 233 ~ 237
4. [학술지(정기간행물)] - Akinci OF / 2000 / Simple and effective surgical treatment of pilonidal sinus: asymmetric excision and primary closure using suction drain and subcuticular skin closure / Dis Colon Rectum 43 : 701 ~ 706
5. [학술지(정기간행물)] - al-Hassan HK / 1990 / Primary closure or secondary granulation after excision of pilonidal sinus? / Acta Chir Scand 156 : 695 ~ 699
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UCI(KEPA) : I410-ECN-0101-2014-510-002955071