Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article

Asil, Kıyasetin; UZUNOĞLU, Mustafa Yener; Dikicier, Enis; ZENGIN, ISMAIL; ALTINTOPRAK, Fatih; ARSLAN, YUSUF

Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article

Enis DİKİCİER, (İstinye Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye)

Fatih ALTINTOPRAK, (İstinye Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye)

Mustafa Yener UZUNOĞLU, (Sakarya Üniversitesi Araştırma ve Eğitim Hastanesi, Genel Cerrahi Kliniği, Sakarya, Türkiye)

Yusuf ARSLAN, (Sakarya Üniversitesi Araştırma ve Eğitim Hastanesi, Genel Cerrahi Kliniği, Sakarya, Türkiye)

Kıyasettin ASİL, (Sakarya Üniversitesi Araştırma ve Eğitim Hastanesi, Radyoloji Kliniği, Sakarya, Türkiye)

İsmail ZENGİN (Sakarya Üniversitesi Araştırma ve Eğitim Hastanesi, Radyoloji Kliniği, Sakarya, Türkiye)

Sakarya Tıp Dergisi

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Yıl: 2018 Cilt: 8 Sayı: 3 Sayfa Aralığı: 505 - 510 Metin Dili: İngilizce İndeks Tarihi: 14-03-2020

Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article

Öz:

Aim Various risk factors have been defi ned for recurrence in pilonidal disease. This study was designed to investigate the local subcutaneoustissue thickness in patients who were operated on for sacrococcygeal pilonidal disease. ( Sakarya Med J 2018, 8(3):505-510)Methods Ninety-eight patients who had been operated in General Surgery Clinics of Sakarya University Research and Educational Hospital on withthe diagnosis of pilonidal sinus were retrospectively evaluated between January 2008 and January 2014. In evaluation of the fl ap thickness,the nearest and farthest margins were measured by ultrasonography between the skin and sacrum.This is a cross-sectional and descriptivestudy and local ethics approval was obtained from Sakarya University Medical SchoolResults Resection and primary closure and Limberg fl ap transposition were performed in 46 (46.9%) and 52 (53.1%) patients, respectively. Meanfl ap thickness was found to be 17.2 mm (range: 3.9 - 36.4) and 20.5 mm (range: 4.0 - 42.3) in the primary repair group and the Limberggroup, respectively. The recurrence rate was 10.8% in the primary repair group, 3.8% in the Limberg group at a mean of 27.1 months(range: 12-54 months) of follow-up.Conclusion Subcutaneous tissue thickness in the place of surgery was greater in patients with the Limberg fl ap procedure compared to the patientswith primary closure in pilonidal sinus disease. Flap thickness may be a parameter that can be used to predict the possibilty of recurrence

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Pilonidal Sinüs Nedeni İle Opere Edilen Hastalarda Flep Kalınlığının Ultrasonografik Değerlendirmesi

Öz:

Amaç Pilonidal sünis nedeni ile opere edilen hastalarda nüksün pek çok nedeni vardır. Bu çalışmanın amacı pilonidal sinüs nedeni ile limberg fl ep uygulanan hastalarda, fl ep kalınlığının hastalık tekrarına etkisini araştırmaktır ( Sakarya Tıp Dergisi 2018, 8(3):505-510 ). Yöntem Ocak 2008 ve Ocak 2014 yılları arasında, Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği’nde pilonidal sinüs nedeni ile opere edilen 98 hastanın verileri retrospektif olarak incelendi. Flep kalınlığı deri ile sakrum arasındaki en yakın ve en uzak mesafeler ultrasonografi k olarak ölçülerek değerlendirildi. Bu araştırma kesitsel ve tanımlayıcı bir çalışmadır ve Sakarya Üniversitesi Tıp Fakültesi Etik Kurulu’ndan etik kurul onayı alınmıştır Bulgular Limberg fl ep uygulanan 46 hasta (%46.9) ve rezeksiyon ve primer kapama uygulanan 52 hasta (%53.1) sonuçları geriye dönük değerlendirildi. Ortalama fl ep kalınlığı primer onarım grubu ve limberg fl ep grubunda sırası ile,17.2 mm (3.9 - 36.4 mm) ve 20.5 mm (4 -42.3 mm) olarak bulundu. Nüks oranı primer kapama grubunda %10.8 limberg fl ep grubunda % 3.8 olarak saptandı. Olguların ortalama takip süresi 27.1 ay (12-54 ay) olarak bulundu. Sonuç Subkutan doku kalınlığı Limberg fl ep uygulanan hastalarda primer kapama grubuna göre belirgin olarak fazlaydı. Flep kalınlığı pilonidal sinüs nedenli opere edilen hastalarda nüksü azaltmada önemli bir parametre olarak kullanılabilir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Dikicier E, ALTINTOPRAK F, UZUNOĞLU M, ARSLAN Y, Asil K, ZENGIN I (2018). Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. , 505 - 510.
Chicago	Dikicier Enis,ALTINTOPRAK Fatih,UZUNOĞLU Mustafa Yener,ARSLAN YUSUF,Asil Kıyasetin,ZENGIN ISMAIL Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. (2018): 505 - 510.
MLA	Dikicier Enis,ALTINTOPRAK Fatih,UZUNOĞLU Mustafa Yener,ARSLAN YUSUF,Asil Kıyasetin,ZENGIN ISMAIL Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. , 2018, ss.505 - 510.
AMA	Dikicier E,ALTINTOPRAK F,UZUNOĞLU M,ARSLAN Y,Asil K,ZENGIN I Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. . 2018; 505 - 510.
Vancouver	Dikicier E,ALTINTOPRAK F,UZUNOĞLU M,ARSLAN Y,Asil K,ZENGIN I Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. . 2018; 505 - 510.
IEEE	Dikicier E,ALTINTOPRAK F,UZUNOĞLU M,ARSLAN Y,Asil K,ZENGIN I "Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article." , ss.505 - 510, 2018.
ISNAD	Dikicier, Enis vd. "Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article". (2018), 505-510.

APA	Dikicier E, ALTINTOPRAK F, UZUNOĞLU M, ARSLAN Y, Asil K, ZENGIN I (2018). Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. Sakarya Tıp Dergisi, 8(3), 505 - 510.
Chicago	Dikicier Enis,ALTINTOPRAK Fatih,UZUNOĞLU Mustafa Yener,ARSLAN YUSUF,Asil Kıyasetin,ZENGIN ISMAIL Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. Sakarya Tıp Dergisi 8, no.3 (2018): 505 - 510.
MLA	Dikicier Enis,ALTINTOPRAK Fatih,UZUNOĞLU Mustafa Yener,ARSLAN YUSUF,Asil Kıyasetin,ZENGIN ISMAIL Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. Sakarya Tıp Dergisi, vol.8, no.3, 2018, ss.505 - 510.
AMA	Dikicier E,ALTINTOPRAK F,UZUNOĞLU M,ARSLAN Y,Asil K,ZENGIN I Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. Sakarya Tıp Dergisi. 2018; 8(3): 505 - 510.
Vancouver	Dikicier E,ALTINTOPRAK F,UZUNOĞLU M,ARSLAN Y,Asil K,ZENGIN I Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article. Sakarya Tıp Dergisi. 2018; 8(3): 505 - 510.
IEEE	Dikicier E,ALTINTOPRAK F,UZUNOĞLU M,ARSLAN Y,Asil K,ZENGIN I "Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article." Sakarya Tıp Dergisi, 8, ss.505 - 510, 2018.
ISNAD	Dikicier, Enis vd. "Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article". Sakarya Tıp Dergisi 8/3 (2018), 505-510.