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Aim:Pilonidal sinus is a chronic intermittent disease, usually involving the sacrococcygeal area. This study was undertaken to compare the long-term results of peroperative methylene blue use in patients with pilonidal disease who underwent Limberg flap technique with and without methylene blue application.Method:Patients who underwent Limberg flap for pilonidal sinus surgery between January 2014 and November 2018 were divided into two groups: methylene blue-guided surgery (group 1) and unguided surgery (group 2). Data of the patients were collected from the files, and the long-term recurrence data of the patients were obtained by one-to-one phone calls and outpatient controls at 36 months. Age and body mass index (BMI) were also evaluated. BMI of the patients was categorized as 18.1-20.0 kg/m2, 20.1-22.5 kg/m2, 22.6-25.0 kg/m2, 25.1-27.5 kg/m2, 27.6-30.0 kg/m2 and >30.1 kg/m2.Results:Methylene blue was performed in 62 of 100 patients who underwent Limberg flap procedure and there was one recurrence in both groups. Methylene blue application did not have an effect on long-term recurrence (p=0.98). BMI groups and recurrence were analyzed regardless of methylene blue use, and BMI greater than 27.5-30.0 kg/m2 was statistically significant in the development of recurrence in long-term results (p=0.040).Conclusion:Although it is considered as an integral part of pilonidal sinus surgery, there is no superiority of methylene blue guided surgery on longterm recurrences.

The effect of cholecystectomy on quality of life in patients with gallbladder polyps Objective: To investigate the effect of cholecystectomy procedure on quality of life and the factors associated with patient satisfaction in patients with gallbladder polyps. Material and Methods: Between January 2000 and December 2005, 59 patients diagnosed gallbladder polyps preoperatively and postoperatively, were completed the questionary using Gastrointestinal Quality of Life Index and global patient satisfaction parameters and the datas were analyzed. Results: Our study showed that cholecystectomy procedure for gallbladder polyp statistically increased patient satisfaction and gastrointestinal quality of life scores. Having symptoms, cholesterol polyp as the histological type and laparoscopic surgery were observed as independent influencing factors to the scores. Conclusion: If nonspecific complaints cannot be explained by other reasons in nonspecific patients with high scores, proposing cholecystectomy to this group of patients have been noted. More randomized prospective studies are needed to demonstrate the etiology of healing process of nonspecific complaints.