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dc.contributor.authorKartal, A.
dc.contributor.authorAydın, H.O.
dc.contributor.authorOduncu, M.
dc.contributor.authorFerhatoğlu, M.F.
dc.contributor.authorKıvılcım, T.
dc.contributor.authorFiliz, A.İ.
dc.date.accessioned2019-06-30T18:27:02Z
dc.date.available2019-06-30T18:27:02Z
dc.date.issued2018
dc.identifier.issn12146994
dc.identifier.urihttps://pmr.lf1.cuni.cz/119/4/0148/
dc.identifier.urihttp://hdl.handle.net/11727/3755
dc.description.abstractOur study aims to compare the surgical outcome of Limberg transposition flap, Karydakis flap, and primary closure after excision to treat sacrococcygeal pilonidal sinus disease. A total of 634 patients with pilonidal sinus who underwent surgery were evaluated retrospectively from January 2014 to January 2016. The patients were divided into three groups. Limberg transposition flap (LTF) was performed in 131 patients (group 1), Karydakis flap (KF) was performed in 232 patients (group 2) and primary closure (PC) after excision was performed in 271 patients (group 3). Patient demographics, operative and postoperative outcomes were recorded and analyzed retrospectively. The mean age (p=0.98), sex ratio (p=0.74) and removed sinus volume (p=0.67) were not statistically different between groups. Mean operative time was 54.3 ± 6.4 min for group 1, 46.8 ± 10.5 min for group 2, and 26.9 ± 5.8 min for group 3 respectively (p=0.01). When the length of hospital stay was compared, there was a significant difference in favor of primary closure (p=0.01). Regarding early surgical complication, Karydakis flap technique was superior to other groups (p<0.001). The recurrent rate was higher in the primary closure group (p<0.001). In our study, the primary closure method regarding the duration of surgery and hospitalization; Karydakis method regarding postoperative complications (seroma, hematoma, wound dissociation, infection, recurrence) were superior to the other two methods.en_US
dc.language.isoengen_US
dc.relation.isversionof10.14712/23362936.2019.2en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectComplicationen_US
dc.subjectPerforator flapen_US
dc.subjectPilonidal sinusen_US
dc.subjectRecurrenceen_US
dc.subjectRhomboid flapen_US
dc.titleComparison of Three Surgical Techniques in Pilonidal Sinus Surgeryen_US
dc.typearticleen_US
dc.relation.journalPrague medical reporten_US
dc.identifier.volume119en_US
dc.identifier.issue4en_US
dc.identifier.startpage148en_US
dc.identifier.endpage155en_US
dc.identifier.scopus2018-33


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