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Distal scar-to-midline distance in pilonidal Limberg flap surgery is a recurrence-promoting factor: A multicenter, case-control study
- Publication Year :
- 2017
- Publisher :
- Excerpta Medica Inc-Elsevier Science Inc, 2017.
-
Abstract
- Ozcan, Onder/0000-0001-8252-3339 WOS:000415221700007 PubMed: 28359560 Background: The Limberg flap (LF) procedure is widely performed for the treatment of sacrococcygeal pilonidal sinus (SPS); however, recurrences continues to be observed. The aim of this study was to assess the relationship between LF designs and the risk of SPS recurrence. Methods: Sixty-one cases with recurrent disease (study group) and 194 controls, with a minimum of 5 recurrence-free years following surgery (control group), were included in the study. LF reconstructions performed in each group were classified as off-midline closure (OMC) and non-OMC types. Subsequently, the 2 groups were analyzed. Results: After adjustment for all variables, non-OMC types showed the most prominent correlation with recurrence, followed by interrupted suturing type, family history of SPS, smoking, prolonged healing time, and younger age. The best cut-off value for the critical distance from the midline was found to be 11 mm (with 72% sensitivity and 95% specificity for recurrence). Conclusions: We recommend OMC modifications, with the flap tailored to create a safe margin of at least 2 cm between the flap borders and the midline. (C) 2017 Elsevier Inc. All rights reserved.
- Subjects :
- Adult
Male
medicine.medical_specialty
Younger age
Adolescent
Healing time
030230 surgery
Risk Assessment
Surgical Flaps
Limberg Flap
03 medical and health sciences
Cicatrix
Young Adult
0302 clinical medicine
Pilonidal Sinus
Recurrence
Recurrent disease
Medicine
Humans
Sacrococcygeal Pilonidal Sinus
Family history
Limberg flap
Retrospective Studies
Pilonidal disease
business.industry
Sacrococcygeal Region
Case-control study
Modified Limberg
General Medicine
Middle Aged
Off-Midline Closure
Surgery
Pilonidal Disease
030220 oncology & carcinogenesis
Case-Control Studies
Female
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....5ae115a92284666dd927508c06c3f4e8