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Sinusectomy and primary closure versus excision and primary closure in pilonidal sinus disease: a retrospective cohort study

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dc.contributor.authorErol, Arzu
dc.contributor.authorGoncu, Beyza S.
dc.contributor.authorHazer, Baki
dc.contributor.authorROSBERG, DERYA BURCU HAZER
dc.contributor.institutionauthorDESTEK, SABAHATTİN
dc.date.accessioned2020-06-05T20:59:49Z
dc.date.available2020-06-05T20:59:49Z
dc.date.issued2020-01-01T00:00:00Z
dc.description.abstractBackground Various surgical procedures are available for the treatment of pilonidal sinus diseases (PSD), but the best surgical approach remains controversial. Minimally invasive surgical procedures are more popular than surgery. This study aimed to evaluate the efficacy of sinusectomy with primary closure (SPC) in comparison with excision and primary closure (EPC) in primary or recurrent cases. Materials and methods This single-center retrospective cohort study was conducted with two cohort groups in which 351 patients with PSD underwent either SPC or EPC. The two procedures were compared according to the presence of short-term complications and recurrence of PSD. Results Of the patients, 134 underwent EPC and 217 underwent SPC. The length of stay and the wound healing time were significantly longer in the EPC group than in the SPC group. The occurrence rates of wound site infection and abscess were significantly higher in the EPC group than in the SPC group; however, seroma was statistically significantly more common in the SPC group than in the EPC group. The recurrence rates were 18.7% and 5.5% in the EPC and SPC groups, respectively. Conclusion SPC is an efficient procedure for the treatment of patients with PSD showing simple and complicated disease patterns.
dc.identifier.citationGul V. O. , DESTEK S., -Sinusectomy and primary closure versus excision and primary closure in pilonidal sinus disease: a retrospective cohort study-, INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, cilt.35, ss.1117-1124, 2020
dc.identifier.doi10.1007/s00384-020-03575-1
dc.identifier.pubmed32248289
dc.identifier.scopus85084645802
dc.identifier.urihttps://hdl.handle.net/20.500.12645/18069
dc.identifier.wosWOS:000523388200001
dc.language.isoen
dc.titleSinusectomy and primary closure versus excision and primary closure in pilonidal sinus disease: a retrospective cohort study
dc.typeArticle
dspace.entity.typePublication
local.avesis.id6923301b-5c0d-4e82-a8c8-2ee7da0a1822
local.publication.isinternational1
relation.isAuthorOfPublication6510863e-f993-4bd8-af2c-8597f426b0e1
relation.isAuthorOfPublication.latestForDiscovery6510863e-f993-4bd8-af2c-8597f426b0e1
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