Surgery for pilonidal disease.
【연구 목적】 모공성 질환(pilonidal disease) 수술은 합병증, 재발 및 미용적 후유증의 위험이 크므로, 본 연구는 저자 기관에서 시행된 네 가지 수술 기법의 결과를 평가하여 최적의 치료 전략을 모색하는 것을 목적으로 한다.
- 추적기간 20 months
APA
Hølmebakk T, Nesbakken A (2005). Surgery for pilonidal disease.. Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 94(1), 43-6. https://doi.org/10.1177/145749690509400111
MLA
Hølmebakk T, et al.. "Surgery for pilonidal disease.." Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society, vol. 94, no. 1, 2005, pp. 43-6.
PMID
15865116
Abstract
[BACKGROUND AND AIMS] Surgery for pilonidal disease carries a considerable risk of complications, recurrence, and cosmetic sequelae. The present study evaluates the four procedures performed in our institution.
[MATERIAL AND METHODS] Operations from 1999 through 2002 were retrospectively assessed. Cosmetic result and overall satisfaction were reported on visual analogue scales.
[RESULTS] Seventy-three procedures were performed in 71 patients: excision with open granulation in nine; excision and primary suture in 25; rhomboid plasty in 23; and lay-open in 16 patients. Infections were as frequent after rhomboid plasty (40%) as after excision and primary suture (43%). Nineteen recurrences (26%) were observed during a median follow-up of 20 months, and the estimated five-year actuarial recurrence rate was 44%. Recurrence occurred in 1/9 (11%) after excision with granulation, in 4/23 (17%) after excision and suture, in 5/25 (20%) after rhomboid plasty, and in 9/16 patients (56%) after lay-open. The cosmetic result was satisfactory only in 22/53 (42%) patients; the result was poor in 16/53 (30%) patients.
[CONCLUSION] Results after surgery for pilonidal disease are modest and should be compared to conservative management in a randomised trial.
[MATERIAL AND METHODS] Operations from 1999 through 2002 were retrospectively assessed. Cosmetic result and overall satisfaction were reported on visual analogue scales.
[RESULTS] Seventy-three procedures were performed in 71 patients: excision with open granulation in nine; excision and primary suture in 25; rhomboid plasty in 23; and lay-open in 16 patients. Infections were as frequent after rhomboid plasty (40%) as after excision and primary suture (43%). Nineteen recurrences (26%) were observed during a median follow-up of 20 months, and the estimated five-year actuarial recurrence rate was 44%. Recurrence occurred in 1/9 (11%) after excision with granulation, in 4/23 (17%) after excision and suture, in 5/25 (20%) after rhomboid plasty, and in 9/16 patients (56%) after lay-open. The cosmetic result was satisfactory only in 22/53 (42%) patients; the result was poor in 16/53 (30%) patients.
[CONCLUSION] Results after surgery for pilonidal disease are modest and should be compared to conservative management in a randomised trial.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 약물 | [BACKGROUND AND
|
scispacy | 1 | ||
| 약물 | [MATERIAL AND
|
scispacy | 1 | ||
| 약물 | [RESULTS] Seventy-three procedures
|
scispacy | 1 | ||
| 질환 | pilonidal disease
|
C2317114
Pilonidal disease
|
scispacy | 1 | |
| 질환 | cosmetic sequelae
|
scispacy | 1 | ||
| 질환 | Infections
|
C0851162
Infections of musculoskeletal system
|
scispacy | 1 | |
| 기타 | pilonidal
|
scispacy | 1 |
MeSH Terms
Cosmetic Techniques; Granulation Tissue; Humans; Pilonidal Sinus; Recurrence; Reoperation; Retrospective Studies; Surgery, Plastic; Surgical Wound Infection; Suture Techniques; Time Factors; Treatment Outcome; Wound Healing