一项回顾性队列研究:不对称毛窦切除后的初级闭合方法

Tuba Atak
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Patients with incomplete data were excluded from the study. An excision and primary closure method was performed on all patients included in the study. Results: Sixty-seven (42.1%) of the patients were male and 92 (57.9%) were female. The mean age was 27.8 (8.97) years. Twenty-one (13.2%) patients were operated on under local anesthesia, whereas 138 (86.8%) received spinal anesthesia. The mean operative time was 28.87 (8.01) minutes (range: 14-47 minutes). The mean length of hospital stay was determined to be one day (range: 6-24 hours). Surgical-site infections developed in 4 (2.5%) patients and wound dehiscence developed in 14 (8.8%) patients during the postoperative period. Patients developing these conditions were followed up with dressing and antibiotic treatment. The mean postoperative follow-up period was 67 months (range: 1-105 months). Recurrence was detected in six patients during the follow-up period, representing a recurrence rate of 3.8%. 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摘要

背景/目的:由于每一种技术都有复发率,因此在脊髓窦手术中没有金标准方法。本研究旨在评估在州立医院由一名外科医生使用切除和初级关闭技术进行的毛突窦手术的结果。方法:选取2014年9月至2022年5月,由一名外科医生在普外科手术的159例毛膜窦患者。对患者进行回顾性调查,记录患者的年龄、性别、手术方式、麻醉类型、恢复正常生活所需时间、既往脓肿引流史、切口区长期主诉、臀间窦数、术后并发症及复发率。缺失的信息通过综合诊所的医疗记录和电话进行了补充。资料不完整的患者被排除在研究之外。所有纳入研究的患者均采用切除和初级闭合方法。结果:男性67例(42.1%),女性92例(57.9%)。平均年龄27.8岁(8.97岁)。局麻21例(13.2%),脊麻138例(86.8%)。平均手术时间28.87 (8.01)min(范围:14 ~ 47 min)。平均住院时间为1天(范围:6-24小时)。术后4例(2.5%)患者发生手术部位感染,14例(8.8%)患者发生伤口裂开。出现这些情况的患者接受敷料和抗生素治疗。术后平均随访67个月(1 ~ 105个月)。随访期间6例患者复发,复发率为3.8%。结论:不对称毛突窦切除后的初级闭合是一种简单易行的技术,术后疼痛最小,伤口愈合早期。此外,该方法具有早期复发率和低复发率。由于这些优点,我们认为这种方法将更适用于脊髓窦手术。
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Primary closure method after asymmetrical excision of a pilonidal sinus treatment: A retrospective cohort study
Background/Aim: There is no gold standard method in pilonidal sinus surgery, because each technique has a recurrence rate. This study aims to evaluate the outcomes of pilonidal sinus surgeries performed by a single surgeon using excision and primary closure technique in a state hospital. Methods: The study included 159 pilonidal sinus patients operated on by a single surgeon in the General Surgery Department between September 2014 and May 2022. The patients were investigated retrospectively, and age, gender, surgical technique, type of anesthesia administered, time needed to return to normal life, history of previous abscess drainage, long-term complaints in the incision area, number of intergluteal sinuses, postoperative complications and recurrence rates were recorded. Missing information was completed with polyclinic medical records and phone calls. Patients with incomplete data were excluded from the study. An excision and primary closure method was performed on all patients included in the study. Results: Sixty-seven (42.1%) of the patients were male and 92 (57.9%) were female. The mean age was 27.8 (8.97) years. Twenty-one (13.2%) patients were operated on under local anesthesia, whereas 138 (86.8%) received spinal anesthesia. The mean operative time was 28.87 (8.01) minutes (range: 14-47 minutes). The mean length of hospital stay was determined to be one day (range: 6-24 hours). Surgical-site infections developed in 4 (2.5%) patients and wound dehiscence developed in 14 (8.8%) patients during the postoperative period. Patients developing these conditions were followed up with dressing and antibiotic treatment. The mean postoperative follow-up period was 67 months (range: 1-105 months). Recurrence was detected in six patients during the follow-up period, representing a recurrence rate of 3.8%. Conclusion: Primary closure after asymmetrical excision of the pilonidal sinus is an easily performed technique with minimal postoperative pain and early wound healing. Additionally, this method has early return-to-work rates and low recurrence rates. We think that this method would be more applicable in pilonidal sinus surgery due to these advantages.
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