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10.5539/gjhs.v6n7p18 http://scihub22266oqcxt.onion/10.5539/gjhs.v6n7p18 C4796415!4796415 !25363174     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25363174 &cmd=llinks): Failed to open stream: HTTP request failed! 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Comparison of two surgical methods, primary closure and rotational flap, in patients with chronic pilonidal sinus |pdf=|usr=}}{{25363174 }} gab.com Text Comparison of two surgical methods, primary closure and rotational flap, in patients with chronic pilonidal sinus JO: Glob J Health Sci http://www.kidney.de/pget.php?&tw=1&pmid=25363174 #FOAvip INTRODUCTION: Pilonidal sinus is a common infectious process which occurs in buttocks and sacral area which involves a wide range of symptoms that are different from an asymptomatic sinus abscess to acute and chronic sinus track. Basically non-surgical treatment for this disease is not recommended. In this study, we have been compared two methods of primary repair and rotation flap in terms of factors such as duration of hospitalization, recurrence, infection etc. METHODS: 80 patients with chronic pilonidal sinus were randomly divided into two groups and underwent surgery. Diabetic and obese patients with underlying diseases and patients with acute pilonidal abscess or prior surgery were excluded. The patients' hospital stay, duration of postoperative pain, itching and hematoma, were investigated. RESULTS: In this study, patients' sex and mean age were examined in terms of frequency of complications of hematoma, wound infection, recurrence, itching, and duration of hospitalization and the presence of seroma, there is no significant difference between the two methods of primary surgical repair and rotation flap (P> 0.05) But in terms of the opening of the surgical wound, in primary surgical method, 5 patients (12.5%), wound dehiscence were reported, in rotation flap, any case of wound dehiscence were reported. There is significant difference between wound dehiscence in patients with chronic pilonidal sinus and two methods of surgery. (P=0.02). The mean duration of pain relief was 15.2 ± 3.35 days in the primary surgical repair method and rotation flap was 7 ± 2.3 days. According to the test there is significant difference between mean duration of pain relief and two surgical methods. (P=0.001). The mean duration of sutures was 15.3 ± 2.3 days in the primary repair method and in rotational flap was 12 ± 3.6 days. There is significant difference between the mean duration of sutures and two surgical methods (P=0.001) CONCLUSION: Considering these results, rotational flap is the preferred method due to fewer complications, lower recurrence after surgery and faster healing time of surgical wounds and as a result, the effective force's early return to economic cycle. Finally, we can say that each surgeon according to the type and size of the sinuses and occupational status and social class, personality and individuality of the patient can select the appropriate method of surgery.  Twit Text FOAVip Comparison of two surgical methods, primary closure and rotational flap, in patients with chronic pilonidal sinus ????Glob J Health Sci http://www.kidney.de/pget.php?&tw=1&pmid=25363174 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25363174 #FOAvip English Wikipedia <ref>{{Cite pmid|25363174 }}</ref> Comparison of two surgical methods, primary closure and rotational flap, in patients with chronic pilonidal sinus #MMPMID25363174 Enshaei A ; Motearefi S Glob J Health Sci 2014[Sep]; 6 (7 Spec No ): 18-22 PMID25363174 show ga INTRODUCTION: Pilonidal sinus is a common infectious process which occurs in buttocks and sacral area which involves a wide range of symptoms that are different from an asymptomatic sinus abscess to acute and chronic sinus track. Basically non-surgical treatment for this disease is not recommended. In this study, we have been compared two methods of primary repair and rotation flap in terms of factors such as duration of hospitalization, recurrence, infection etc. METHODS: 80 patients with chronic pilonidal sinus were randomly divided into two groups and underwent surgery. Diabetic and obese patients with underlying diseases and patients with acute pilonidal abscess or prior surgery were excluded. The patients' hospital stay, duration of postoperative pain, itching and hematoma, were investigated. RESULTS: In this study, patients' sex and mean age were examined in terms of frequency of complications of hematoma, wound infection, recurrence, itching, and duration of hospitalization and the presence of seroma, there is no significant difference between the two methods of primary surgical repair and rotation flap (P> 0.05) But in terms of the opening of the surgical wound, in primary surgical method, 5 patients (12.5%), wound dehiscence were reported, in rotation flap, any case of wound dehiscence were reported. There is significant difference between wound dehiscence in patients with chronic pilonidal sinus and two methods of surgery. (P=0.02). The mean duration of pain relief was 15.2 ± 3.35 days in the primary surgical repair method and rotation flap was 7 ± 2.3 days. According to the test there is significant difference between mean duration of pain relief and two surgical methods. (P=0.001). The mean duration of sutures was 15.3 ± 2.3 days in the primary repair method and in rotational flap was 12 ± 3.6 days. There is significant difference between the mean duration of sutures and two surgical methods (P=0.001) CONCLUSION: Considering these results, rotational flap is the preferred method due to fewer complications, lower recurrence after surgery and faster healing time of surgical wounds and as a result, the effective force's early return to economic cycle. Finally, we can say that each surgeon according to the type and size of the sinuses and occupational status and social class, personality and individuality of the patient can select the appropriate method of surgery.  |Adolescent [MESH] |Adult [MESH] |Age Factors [MESH] |Chronic Disease [MESH] |Female [MESH] |Humans [MESH] |Length of Stay/statistics & numerical data [MESH] |Male [MESH] |Pilonidal Sinus/*surgery [MESH] |Postoperative Complications/*epidemiology [MESH] |Sex Factors [MESH]Comparison of two surgical methods, primary closure and rotational fla(epmc).pdf DeepDyve Pubget Overpricing