The V-Y flap technique in complicated and recurrent pilonidal sinus disease

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dc.authoridyildiz, ihsan/0000-0002-6804-7492
dc.contributor.authorKoca, Yavuz Savas
dc.contributor.authorYildiz, Ihsan
dc.contributor.authorUgur, Mustafa
dc.contributor.authorBarut, Ibrahim
dc.date.accessioned2024-09-18T19:50:24Z
dc.date.available2024-09-18T19:50:24Z
dc.date.issued2018
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractOBJECTVES: This study presents early and long term (5 years) outcome of 61 complicated pilonidal sinus disease cases undergoing V-Y advancement flap method together with the literature data. METHOD: Data of 336 patients undergoing surgery for pilonidal sinus disease between 2008 and 2012 were retrospectively analyzed. Patients with defect size >= 10 cm, and more than one subcutaneous sinus tunnels were assumed to have complicated pilonidal sinus disease. A total of 61 patients were included in the study. Age, gender, type of surgery, duration of hospitalization, time of drain removal, pre-operative complications, and relapse rates at post-operative 5th year were analyzed. RESULTS: Of the 66 patients, 51 underwent unilateral V-Y advancement and 10 patients had bilateral V-Y plasty. Mean duration of operations was 6687 +/- 18.37 minutes for total, 61.02 +/- 12.30 minutes for unilateral V-Y plasty, and 9670 +/--15.04 minutes for bilateral V-Y plasty. Hemovac drains were removed at 5.59 +/- 1.91 days averagely, 5.16 +/- 1.37 in unilateral group, and 7.80 +/- 2.74 in bilateral V-Y plasty group. Of the 4 patients who developed wound site infection, 2 had unilateral and 2 had bilateral V-Y flap advancement. Postoperative hematomas developed in 2 patients with unilateral flap and one patient with bilateral flapss. Seroma occurred in 2 patients with unilateral flap and one patient with bilateral flaps. Dehiscence developed two patients, one patient from each group. The mean duration of hosptalization was 5.98 +/- 2.21 days; 5.49 +/- 1.52 in unilateral group, and 8.50 +/- 3.34 in bilateral group. Early or late relapse was not seen in any groups. CONCLUSON: V-Y advancement flap technique can be applied as an efficient method in the treatment of complicated pilonidal sinus disease due to low relapse and complication rates.en_US
dc.identifier.endpage69en_US
dc.identifier.issn0003-469X
dc.identifier.issn2239-253X
dc.identifier.issue1en_US
dc.identifier.pmid29629896en_US
dc.identifier.startpage66en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/7427
dc.identifier.volume89en_US
dc.identifier.wosWOS:000445319200011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherEdizioni Luigi Pozzien_US
dc.relation.ispartofAnnali Italiani Di Chirurgiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdvancement flapen_US
dc.subjectComplicated pilonidal sinusen_US
dc.subjectPilonidal sinusen_US
dc.subjectV-Y flapen_US
dc.titleThe V-Y flap technique in complicated and recurrent pilonidal sinus diseaseen_US
dc.typeArticleen_US

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