Long-term Outcomes of Primary Repair Using the Midline Closure Method without Skin Sutures: A new skin sutureless closure technique in Pilonidal Sinus Disease
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https://doi.org/10.23938/ASSN.1073Gako-hitzak:
Pilonidal disea, Primary closure, Skin sutureless, New techniqueLaburpena
Background: Although a number of theories relating to pilonidal sinus disease etiology have been proposed, today main discussion is focused on treatment techniques. The aim of study was to investigate ideal operation for pilonidal sinus disease.
Material And Method: A total of 160 male patients presenting to the general surgery outpatient clinic from February 2017 to December 2022 for pilonidal sinus disease were enrolled in the study. The patients in Group 1 (n=80, 50%) underwent excision plus primary closure and the patients in Group 2 (n=80, 50%) underwent excision plus midline closure without skin sutures, and the results were compared. Patients with recurrent or complicated pilonidal sinus and with prior various surgical procedures were excluded from the study.
Results: The mean duration of operation was shorter in Group 2 than in Group 1. Wound infection and seroma development were significantly less common in Group 2 than in Group 1 (P<0.05). The mean duration of follow-up was 5±2 years and during this period, 5 (6.2%) patients in Group 1 had recurrence, while none in Group 2 had recurrence (P<0.05).
Conclusions: We believe that midline primary closure method without skin sutures, which is easy to learn and implement and which has no complication or recurrence in the long-term follow-up can be an ideal method in cases where excision plus primary repair are planned, especially in those with sinus orifices located in the midline.
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