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• W2425421433 abstract "Pilonidal disease (PD) is a common disorder that usually affects young population and generally seen in intergluteal region. Conservative and surgical treatment options have been utilized. Many surgical techniques including primary closure, marsupialization and flap procedures have been described. The present study aims to evaluate the optimal surgical method for the treatment of PD.A total of 151 patients underwent pilonidal disease surgery between January 2007 and September 2014 were enrolled in this study. Patients were compared according to age, sex, operation time, length ofA total of 151 patients with a mean age of 25.18 years (range 14-66) presented with pilonidal disease were evaluated. Primary closure (PC) and tension-free primary closure (TFPC) were performed in 105 (69.5%) and 46 (30.5%) patients, respectively. There was no statistical difference between groups according to age, sex, operation time and length of hospital stay. Only 9 patients (8.6%) in PC and 3 patients (6.5%) in TFPC have postoperative recurrent disease. of 17 patients (7.9%) dehiscence was seen, 15 (14.3%) were in PC group and 2 (4.3%) were in TFPC group. Postoperative seroma or wound infection was seen in 16 patients (10.6%).Tension-free primary closure is a method that is effective as primary closure.Modified primary closure, Pilonidal disease, Primary closure.Il sinus pilonidali (SP) è una patologia comune che colpisce in genere la popolazione giovane e localizzandosi nella regione intergflutea. Per la sua cura sono state utilizzate tecniche conservative e descritte diverse tecniche chirurgiche, queste ultime consistenti in chiusura primaria dell’escissione chirurgica, la marsupializzazione e le chiusura con flap della breccia chirurgica. Il presente studio si propone di valutare l’efficacia di un metodo chirurgico. La casistica si riferisce a 151 pazienti sottoposti a trattamento chirurgico tra Gennaio 2007 e Settembre 2014, che vengono suddivisi per età, sesso, durata dell’intervento e della degenza postoperatoria, oltre alle complicanze (deiscenze ed infezioni della ferita), recidive e domensioni pel pezzo operatorio. L’età media dei pazienti affetti da sinus pilonidalis si aggira tra i 14 ed i 66 anni (media 25,18). In 105 pazienti (69,5% del totale) si è proceduto a chiusura primaria della ferita, ed il 46 (30,5% del totale) si è adottata la tecnica tension-free. Non si sono osservate differenze statistiche tra i gruppi rispetto all’età, al sesso, alla durata dell’intervento ed a quella della degenza postoperatoria. Solo 9 pazienti operati con chiusura primaria (8,6%) e 3 pazienti (6,5%) operati con tecnica tension-free hanno presentato una recidiva postoperatoria. In 17 pazienti (7,9%) si è osservata la deiscenza della ferita, di cui 15 (14,3%) tra quelli trattati con chiusura primitive e 2 (4,3%) in quelli trattati con tecnica tension- free. Il 16 pazienti (10.6%) è stata osservata la formazione postoperatoria di sieroma o di infezione. In conclusione la tecnica tension free si dimostra metodo altrettanto efficace della chiusura primitiva." @default.
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• W2425421433 date "2015-01-01" @default.
• W2425421433 modified "2023-09-23" @default.
• W2425421433 title "Tension-free primary closure for the treatment of pilonidal disease." @default.
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