Die Dufourmentel-Lappenplastik zur Behandlung des chronischen Sinus pilonidalis

Hasse, F.; Rademacher, C; Bingham, Kathleen; Löhlein, D

doi:10.1007/s001040050472

Cited by 17 publications

(5 citation statements)

References 10 publications

(14 reference statements)

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“…at riskRR in % (95% CI)Nr. at riskPrimary open (1457)0.5 (0.1–0.8)12636.9* (5.3–8.5)851*8.1* (6.3–9.9)752*10* (7.9–12.1)706* 13, 26, 44, 54, 59, 64– 66, 92, 97, 115, 117, 122, 587, 588 Primary median closure (1320)3.9 (2.7–5.1)104312.2 (9.8–14.6)65515.0* (12.2–17.9)554*16.1* (13.1–19.2)507* 13, 44, 54, 59, 64– 66, 97, 115, 122, 123, 180, 211, 588– 590 Primary asymmetric closure (87)0.0* (0.0–0.0)48*0.0* (0.0–0.0)33*2.0* (0.0–6.3)26*7.1* (0.0–22.1)17* 65, 588, 591, 592 Karydakis/Bascom (332)1.5* (0.0–3.2)226*5.9 (2.0–9.8)151NANANANA 66, 298, 587 Limberg/Dufourmentel (434)1.9* (0.5–3.4)278*5.1* (1.2–8.9)54*NANANANA 92, 320, 357, 366, 394, 593– 595 Marsupialization (98)6.0* (1.3–10.6)98*7.1* (1.5–12.7)93*7.1* (1.5–12.7)76*8.8* (2.0–15.5)57* 13, 65, 97, 588 Pit picking (676)<...>…”

Section: Resultsmentioning

confidence: 99%

Impact of geography and surgical approach on recurrence in global pilonidal sinus disease

Doll

Orlik

Maier

et al. 2019

Sci Rep

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Pilonidal sinus disease (PSD) is increasing globally. A recent meta-analysis and merged-data analysis showed that recurrence rates in PSD depend essentially on follow-up time and specific surgical procedures. However, the global distribution of surgical approaches and respective recurrence rates have never been studied in PSD. We aimed at studying the impact of geographic distribution of surgical approaches to treat PSD and subsequent geography-specific recurrence rates. We searched relevant databases as described previously. Recurrence rates were then associated with reported follow-up times and geographic origin. We simulated individual patients to enable analogy across data. Globally, recurrence rates range from 0.3% for Limberg/Dufourmentel approaches (95% CI 0.2–0.4) and flaps (95% CI 0.1–0.5) and up to 6.3% for incision (95% CI 3.2–9.3) at 12 months. Recurrence rates range from 0.3% for Karydakis/Bascom approaches (95% CI 0.0–0.8) up to 67.2% for incision (95% CI 7.5–100) in the USA, and 0.0% for primary asymmetric closure in Germany (95% CI 0.0–0.0). Our analysis shows that recurrence rates in PSD not only depend on therapeutic approaches and follow-up time but also on geography. Primary asymmetric closure and various flap techniques remain superior regardless of the geographical region. Some approaches have extraordinarily good outcomes in specific countries.

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Section: Resultsmentioning

confidence: 99%

Impact of geography and surgical approach on recurrence in global pilonidal sinus disease

Doll

Orlik

Maier

et al. 2019

Sci Rep

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“…18,19 This transposition flap is an established method in surgery for the treatment of chronic pilonidal sinus. [21][22][23] It is a safe and reliable flap with good aesthetic and functional results. The donor site can be closed primarily.…”

Section: Resultsmentioning

confidence: 99%

Axillary Hidradenitis Suppurativa: A Further Option for Surgical Treatment

Altmann

Fansa

Schneider

2004

Journal of Cutaneous Medicine and Surgery: Incorporating Medica

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Conservative treatment of hidradenitis suppurativa is followed by a high rate of recurrence. Only radical debridement offers a cure. The therapy of choice is the radical excision of the affected region and immediate coverage with a flap. Open granulation or split skin grafting often results in a prolonged hospitalization, higher morbidity, and functional problems. Thus, open granulation is inferior to primary closure by a transposition flap. Using the Limberg flap, the donor site is allowed to be closed primarily.

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“…Alternativ kann eine rhomboide Exzision und ein plastischer Verschluss mit der Limberg-Plastik erfolgen [9]. Erfolgt der primäre Nahtverschluss nach Subkutannaht und relativer Spannung ist durch die Verschiebeplastik dagegen ein spannungsfreier Hautverschluss möglich [7]. Prophylaktisch werden diese Maßnahmen unter Antibiotikaschutz durchgeführt.…”

Section: Exzision Mit Primärem Wundver-unclassified

Sinus pilonidalis

Ruf

2006

Coloproctol

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Die Dufourmentel-Lappenplastik zur Behandlung des chronischen Sinus pilonidalis

Cited by 17 publications

References 10 publications

Impact of geography and surgical approach on recurrence in global pilonidal sinus disease

Impact of geography and surgical approach on recurrence in global pilonidal sinus disease

Axillary Hidradenitis Suppurativa: A Further Option for Surgical Treatment

Sinus pilonidalis

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