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A comparison of closed surgery with deep suturing and secondary repair (open) in treating pilonideal disease in Fourth Air Force Base and Ayatollah Nabavi Hospital in Dezful
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Z Aminimoghadam   , A Khosravikia |
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Abstract: (18019 Views) |
Background: Pilonideal disease is a chronic inflammatory condition of
the sacrococcygeal region that affects mainly young hairy males. Its
pathogenesis is not completely understood. The only successful
treatment is surgery. In this study two surgical approaches were
compared in terms of length of operation, hospital stay, recovery
time, number of postoperative visits, size of scar, and postoperative
infection and pain.
Materials and methods: Patients with chronic pilonideal disease were
selected from 108 patients. They were randomly assigned to either
closed surgery group (n=41) or secondary repair group (n=43) and
followed for one year post operatively. Data were analyzed in the
SPSS software using t and chi square tests.
Results: Eighty-four patients with an average age of 24 years (range:
16-37) were studied including 44 men (52.4%) and 40 women
(48.6%). The closed surgery technique was significantly superior in
all the above mentioned parameters except length of operation
(p<0.01). No case of infection or recurrence was observed.
Conclusion: Considering the fewer complications, lower cost due to less
frequent visits, a more rapid return to daily activities, and less pain
in the first group and the fact that most such patients are young
individuals who can acceptably tolerate a rather longer operation
and anesthesia, closed surgery with deep suturing is recommended
as the optimal approach for this condition. |
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| Keywords: pilonideal disease, treatment, primary repair |
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Full-Text [PDF 216 kb]
(10411 Downloads)
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Type of Study: Original |
Received: 2012/03/7 | Accepted: 2014/06/3 | Published: 2014/06/3
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