Inverted '?' technique without loss of skin tissue compared to classical open surgery technique in pediatric pilonidal sinus disease

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dc.authorscopusid56671407500
dc.authorscopusid57198376648
dc.contributor.authorKabaklioğlu, M.
dc.contributor.authorKaya, M.
dc.date.accessioned2021-12-01T18:38:49Z
dc.date.available2021-12-01T18:38:49Z
dc.date.issued2021
dc.department[Belirlenecek]en_US
dc.description.abstractAim: Although the pilonidal sinus disease is commonly treated with surgical methods, search for optimal surgical procedures and minimally invasive methods continues. The aim of this study was to evaluate the inverted '?' technique which provides a tension-free closure with minimal tissue loss, by comparing with the classical open surgery technique. Material and Methods: Sixty-five patients, 37 (56.9%) male and 28 (43.1%) female, with a mean age of 15.85±1.82 years, admitted between January 2014 and October 2020 and underwent inverted '?' surgery and classical midline open surgery were retrospectively evaluated. Results: As an early postoperative complication, bleeding was observed in 2 (7.4%) patients in inverted '?' group and 3 (11.1%) patients had wound infection. The same complications were 4 (10.5%) and 4 (10.5%) in classical group, respectively. The time to return to full activities was statistically different between two groups (10.36±0.43 versus 11.30±0.93 days, p<0.001). During the follow-up period, 1 (3.7%) recurrence in the inverted '?' group and 9 (23.7%) recurrences in the classical group were statistically significant (p=0.037). Conclusion: The present technique aims to remove the pathological tissue that causes sacrococcygeal pilonidal disease by the subcutaneous surgical work area under the flap created through the '?' incision and to close it without tension, away from the midline without tissue loss. We believe that the operation involving the '?' incision and primary suture method should be considered as the first choice in the pediatric patient group because of being a simple and effective surgical technique for sacrococcygeal pilonidal disease treatment. © 2021, Duzce University Medical School. All rights reserved.en_US
dc.identifier.doi10.18678/dtfd.928180
dc.identifier.endpage186en_US
dc.identifier.issn1307671X
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85113817761en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage181en_US
dc.identifier.urihttps://doi.org/10.18678/dtfd.928180
dc.identifier.urihttps://hdl.handle.net/20.500.12684/9851
dc.identifier.volume23en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherDuzce University Medical Schoolen_US
dc.relation.ispartofDuzce Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectChildrenen_US
dc.subjectSacrococcygeal sinus diseaseen_US
dc.subjectSurgeryen_US
dc.titleInverted '?' technique without loss of skin tissue compared to classical open surgery technique in pediatric pilonidal sinus diseaseen_US
dc.typeArticleen_US

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