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http://hdl.handle.net/20.500.12188/31307
Title: | ЗГРИЖУВАЊЕ НА ДЕФЕКТИТЕ НАСТАНАТИ ПО ЕКСЦИЗИЈА НА SINUS PILONIDALIS ВО САКРО-КОКЦИГЕАЛНАТА РЕГИЈА | Other Titles: | TREATMENT OF THE TISSUE DEFECTS AFTER EXCISION OF SINUS PILONIDALIS IN SACRO-COCCIGEAL REGION | Authors: | Mirchevska Zhogovska, Elizabeta Tudjarova Gjorgova, Smilja DJokikj, GJorgje Dzonov, Boro Peev, Igor |
Keywords: | пилонидален синус дефект реконструкција |
Issue Date: | 2012 | Publisher: | Македонско лекарско друштво = Macedonian medical association | Journal: | Македонски медицински преглед = Macedonian medical review | Abstract: | Introduction. The pilonidal cyst is still an actual surgical problem due to the frequency of its appearance and high risk of post-operative recurrence. Radical excision and treatment of the defect is classic surgical technique when dealing with this clinical identity. Having in mind the frequency of post-operative recurrences, many surgical methods to treat the tissue defect have been developed. The tendency is to avoid the straight line in the inter-gluteal crease. The objective of our study is to evaluate the different available operative techniques that are used when treating this disease. Methods. This is a retrospective-prospective study that includes all 671 patients treated in a period of 10 years with various techniques employed. The techniques are analyzed and compared regarding their complications with a special attention paid to the recurrence and the rate of the disease. Results. Recurrences are seen after 6-12 months of follow up. There are 22 eases of recurrences (3,28%). Most of them, or 72% of the total number, are seen in the patients that were operated with the method of direct suture of the postexcisional defect (2,88%). In the open method, no recurrences are presented. In the other 93 cases where other techniques were utilized, there are only 2 recurrences (2.07%). Conclusions. There are no recurrences in cases of opened wound healing, but hospital stay is the longest one. Com-paring other methods. there is a smaller recurrence risk with this technique. and although patient and surgeon de-pended. it has insignificant differences concerning the risk of postoperative complications. | URI: | http://hdl.handle.net/20.500.12188/31307 |
Appears in Collections: | Faculty of Medicine: Journal Articles |
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ЗГРИЖУВАЊЕ НА ДЕФЕКТИТЕ НАСТАНАТИ ПО ЕКСЦИЗИЈА НА SINUS PILONIDALIS ВО САКРО-КОКЦИГЕАЛНАТА РЕГИЈА.pdf | 5.99 MB | Adobe PDF | View/Open |
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