A new surgical approach for pilonidal sinus disease: "de-epithelialization technique"
Özgür Dandin1, Deniz Tihan2, Dursun Özgür Karakaş3, Batuhan Hazer3, Ahmet Ziya Balta4, Oğuz Uğur Aydın5
1Bursa Asker Hastanesi, Genel Cerrahi Anabilim Dalı, Bursa, Türkiye
2Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, Bursa, Türkiye
3Kasımpaşa Asker Hastanesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye
4Gata Haydarpaşa Eğitim Hastanesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye
5Güven Hastanesi, Genel Cerrahi Anabilim Dalı, Ankara, Türkiye
Keywords: Pilonidal sinus disease, de-epithelialization, natal cleft, flap, sacrococcygeal region
Objective: In the treatment of pilonidal sinüs disease (PSD) different approaches are used such as conservative treatment and fasciocutaneous rotation flap. The aim of this study is to evaluate the efficacy of “de-epithelialization technique” as a new approach in pilonidal sinus disease treatment.
Materials and Methods: Forty patients who had pilonidal sinus disease were treated with de-epithelialization method were evaluated retrospectively. Patients’ age, gender, body mass index (BMI) wound healing time, visual analog scale (VAS) scores, operation times, the length of hospital stay, drain removal time, cosmetic satisfaction rates, complications and recurrence rates were evaluated.
Results: The numbers of male and female patients in this study were 39 and 1, respectively. The median age of the patients was 25 and the mean body mass index (BMI) was 26,6. The mean operating time was 43 minutes and all patients were discharged on the 5th postoperative hour. Wound healing time varied from 10 to 20 days. Median follow-up period was 9 months (4-17 months). One patient with high BMI has suffered from partial wound separation. No other complications such as infections and fluid collections (hematoma and seromas) were discovered. Maximum cosmetic satisfaction rate was 90% (n=36) and no patient had a recurrence during the follow-up period.
Conclusion: ‘’De-epithelialization” may be considered as a complementary and/or alternative approach to other surgical techniques such as primary closure, rhomboid excision and Limberg flap in the treatment of pilonidal sinus disease, with acceptable cosmesis and recurrence rates.
Cite this paper as: Dandin Ö, Tihan D, Karakaş DÖ, Hazer B, Balta AZ, Aydın OU. A new surgical approach for pilonidal sinus disease: "de-epithelialization technique". Turk J Surg 2018; 34: 43-48.
Ethics committee approval was received for this study from the ethics committee of Bursa Şevket Yılmaz Training and Research Hospital (2011-KAEK-25 2015/23-06).
Written informed consent was obtained from patients who participated in this study.
Concept - O.D., D.T.; Design - D.O.K.; Supervision - A.Z.B., B.H.; Resource - O.O.A; Materials - O.D.; Data Collection and/or Processing - O.D., B.H.; Analysis and/or Interpretation - D.T.; Literature Search - O.D., D.O.K.; Writing Manuscript - D.T., B.H.; Critical Reviews - A.Z.B; Other - O.D.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.