Abstract:
PURPOSE:To assess the impact of a simple flap closing procedure by Karydakis flap (KF) after pilonidal sinus excision on the costs and healing time as compared to routine lay-open technique. METHOD:Out of 44 consecutive patients operated on for pilonidal excision (November 2013-March 2015), 17 had a Karydakis flap and 27 a lay-open procedure. For each patient, the length of stay, the operating time (OT), the time needed for complete healing and postoperative care resources were recorded. The global costs included OT, nursing care quantity, and modalities until complete scar healing. RESULTS:One reoperation in the lay-open group was necessary during the follow-up (8±5months). No recurrence occurred. Postoperative morbidity was similar in both groups. Results showed that KF global cost was inferior as compared to lay-open technique (941±178€ vs. 1601±399€; P=0.0001), KF healed faster (32±17 vs. 59±22days; P=0.0001), whereas OT was longer in KF group (16±7 vs. 25±4min; P=0.001). CONCLUSION:KF allows a faster healing time and a 41% lower cost than lay-open technique. Preferential use of KF rather than lay-open procedure could allow a significant health cost saving.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Borel F,Gaudin C,Duchalais E,Lehur PA,Meurette Gdoi
10.1016/j.jviscsurg.2017.02.004subject
Has Abstractpub_date
2017-12-01 00:00:00pages
407-412issue
6issn
1878-7886pii
S1878-7886(17)30011-5journal_volume
154pub_type
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abstract:PURPOSE OF THE STUDY:To determine the statistical indicators aimed at identifying patients for whom ambulatory colectomy could be proposed without additional risk. PATIENTS AND METHODS:The medical charts of patients who benefited from scheduled colonic or rectal resection during conventional hospitalization stays betw...
journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
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doi:10.1016/j.jviscsurg.2019.02.001
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,随机对照试验
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