MANAGEMENT OF FLAP DEHISCENCE AFTER LıMBERG PROCEDURE FOR RECURRENT PıLONıDAL DıSEASE BY NEGATıVE PRESSURE WOUND THERAPY (NPWT)

Taş, Şükrü; Özkan, Ömer Faruk; Ocakli, Muzaffer Muazzez; Arslan, Emrah; Kiraz, Aslı Öztürk; Karaayvaz, Muammer

doi:10.1590/0102-6720201700010021

Cited by 3 publications

(4 citation statements)

References 10 publications

(10 reference statements)

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“…O cisto pilonidal é doença da pele e tecido subcutâneo, ocorrendo predominantemente em homens com idade média de 30 anos e incidência de 26 casos por 100.000.1 A doença é caracterizada por quadros assintomáticos até lesões dolorosas localizadas na região sacrococcígea.2 A causa não está completamente elucidada; no entanto, alguns fatores de risco como a obesidade, higiene pessoal inadequada, histórico familiar e longos períodos em posição sentada estão associados a maior ocorrência da doença. 3 O tratamento é cirúrgico, verificando-se grande diversidade de técnicas. As técnicas menos invasivas constituem-se como alternativa aos métodos de excisão cirúrgica, apresentando vantagens como menor dor no período pósoperatório, retorno precoce do paciente às suas atividades e menores cicatrizes.…”

Section: Introductionunclassified

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Estudo Multicêntrico Brasileiro e Argentino no Tratamento Cirúrgico do Cisto Pilonidal por Técnica Minimamente Invasiva

Mendes¹,

Ferreira²,

Salim³

2021

RCHSI

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Racional: O cisto pilonidal é infecção da pele e do tecido subcutâneo, secundário à inflamação crônica, com maior frequência na região sacrococcígea, e associado à presença de pelos nesta região. O tratamento é eminentemente cirúrgico. Objetivo: Demonstrar os resultados do tratamento endoscópico de cisto pilonidal. Método: Estudo prospectivo, com 67 pacientes que tiveram como indicação cirúrgica o diagnóstico de cisto pilonidal. Os equipamentos utilizados foram o fistuloscópio Meinero, um obturador, um eletrodo monopolar, uma escova e pinça endoscópica. Resultados: Dos 67 pacientes 67% (n=45) eram homens e 33% (n=22) mulheres, com média de idade de 25 anos (17-45). O tempo cirúrgico teve com média 40 min (20-120) e o tempo médio de cicatrização de quatro semanas (3-12). Complicações cirúrgicas ocorreram em 7% da amostra (n=5) e recidivas da doença em 9% (n=6). Conclusão: O tratamento endoscópico do cisto pilonidal é viável e apresenta bons resultados cirúrgicos.

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Section: Introductionunclassified

“…Results: Of the 67 patients, 67% (n=45) were male and 33% (n=22) female, with a mean age of 25 years (17-45). Surgical time in average was 40 min (20-120) and mean healing time of four weeks (3)(4)(5)(6)(7)(8)(9)(10)(11)(12). Surgical complications were presented in 7% cases (n=5) and recurrences in 9% (n=6).…”

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confidence: 99%

Estudo Multicêntrico Brasileiro e Argentino no Tratamento Cirúrgico do Cisto Pilonidal por Técnica Minimamente Invasiva

Mendes¹,

Ferreira²,

Salim³

2021

RCHSI

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“…The disease presents complex symptoms, characterized by asymptomatic conditions and painful lesions located in the sacrococcygeal region 6 . The cause is not fully elucidated; however, some risk factors such as obesity, inadequate personal hygiene, family history and long sitting periods are associated with a higher occurrence of the disease 19 .…”

Section: Introductionmentioning

confidence: 99%

Brazilian and Argentinean Multicentric Study in the Surgical Minimally Invasive Treatment of Pilonidal Cyst

Mendes

Ferreira

Salim

2019

ABCD, arq. bras. cir. dig.

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Background: The pilonidal cyst is an infection of the skin and the subcutaneous tissue, secondary to a chronic inflammation with a greater frequency in the sacrococcygeal region, and associated to the presence of hair. The treatment is eminently surgical. Aim: To demonstrate the endoscopic treatment of pilonidal cyst. Method: Prospective study with 67 patients who had as surgical indication the diagnosis of pilonidal cyst. They were submitted to a surgical procedure from June 2014 to March 2018. The equipment used was the Meinero fistuloscope, a shutter, a monopolar electrode, a brush and endoscopic forceps. Results: Of the 67 patients, 67% (n=45) were male and 33% (n=22) female, with a mean age of 25 years (17-45). Surgical time in average was 40 min (20-120) and mean healing time of four weeks (3-12). Surgical complications were presented in 7% cases (n=5) and recurrences in 9% (n=6). Conclusion: The endoscopic treatment of the pilonidal cyst is feasible and presents good surgical results.

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“…11 Further researches established that the use of NPWT is helpful in reducing the incidence of surgical site infection and wound dehiscence in the setting of wounds that have been primary closed. 12 NPWT is also successfully used to treat certain complications following surgical intervention of a pilonidal sinus, such as the development of wound dehiscence after Limberg flap. 13 At our medical center, we have been relying on the use of NPWT to treat patients with pilonidal disease for over 10 years.…”

Section: Introductionmentioning

confidence: 99%

The role of negative pressure wound therapy in the treatment of pilonidal disease

Chmielecki¹,

Ferenc²,

Banasiewicz³

2019

NPWTJ

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Pilonidal disease is a particularly difficult disorder to treat. Guidelines and recommendations for the treatment of pilonidal disease neglect the use of negative pressure wound therapy (NPWT), but studies strongly support the role of NPWT in preventing surgical site infection in high-risk patients.During a webinar on the pilonidal disease, we asked 51 participants to complete a questionnaire about the treatment of pilonidal disease. They answered questions about treatment practices for patients with a pilonidal disease, and the use of NPWT.The study showed that a relatively large number of surgeons use NPWT to treat patients with the pilonidal disease. The majority of them are satisfied with maintaining the tightness and effectiveness of a vacuum dressing and would use the single-use NPWT systems if they were more easily available and affordable. It seems that the NPWT in the pilonidal disease is increasingly used and this method is gaining popularity among practitioners.

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MANAGEMENT OF FLAP DEHISCENCE AFTER LıMBERG PROCEDURE FOR RECURRENT PıLONıDAL DıSEASE BY NEGATıVE PRESSURE WOUND THERAPY (NPWT)

Cited by 3 publications

References 10 publications

Estudo Multicêntrico Brasileiro e Argentino no Tratamento Cirúrgico do Cisto Pilonidal por Técnica Minimamente Invasiva

Estudo Multicêntrico Brasileiro e Argentino no Tratamento Cirúrgico do Cisto Pilonidal por Técnica Minimamente Invasiva

Brazilian and Argentinean Multicentric Study in the Surgical Minimally Invasive Treatment of Pilonidal Cyst

The role of negative pressure wound therapy in the treatment of pilonidal disease

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