Abstract：
PURPOSE:To investigate the results of wide rhomboid excision with Limberg transposition flap reconstruction to treat pilonidal sinus. METHODS:We analyzed the well-documented records of 238 patients with sacrococcygeal pilonidal sinus who underwent wide excision with a Limberg transposition flap and were followed up for longer than 1 year postoperatively. After the first 40 operations, we modified this flap reconstruction by tailoring the rhomboid excision asymmetrically to place the lower pole of the flap 1-2 cm lateral to the midline. Wound infection rates, hospitalization, time required for free mobilization, and recurrence rates were recorded. RESULTS:Postoperative infection developed in two patients (0.8%), which was easily managed by wound care, antibiotics, removal of skin staples, prolonged drainage, or a combination of these treatments. The mean hospitalization was 2.10 +/- 0.20 days (range 1-3 days), and the mean time required for recovery and return to daily activities was 8.00 +/- 2.50 days (range 4-17 days). There were only three recurrences (1.26%) after a mean follow-up of 29.20 +/- 3.10 months (range 12-38 months). Since we started performing our modification of the technique by lateralization of the inferior apex, no further recurrences have been seen. The recurrence rate differed significantly between the classical Limberg flap group and the modified Limberg flap group ( P = 0.004) CONCLUSION:These results provide further evidence that wide excision with a Limberg transposition flap reconstruction is an effective surgical method for primary or recurrent pilonidal sinus, associated with a low complication rate, short hospitalization and disability, and a low recurrence rate. A modification of the technique was devised to further enhance wound healing and reduce the risk of recurrence.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Mentes BB,Leventoglu S,Cihan A,Tatlicioglu E,Akin M,Oguz Mdoi
10.1007/s00595-003-2725-xsubject
Has Abstractpub_date
2004-01-01 00:00:00pages
419-23issue
5eissn
0941-1291issn
1436-2813journal_volume
34pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract：:Between December 1989 and May 1998, we performed a modified method of in situ reconstruction on three of seven patients with graftenteric fistulas (GEFs) at the Kurume University Hospital. The modification involved performing an anastomosis of the infrarenal abdominal aorta and running a new prosthesis through the lef...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s005950170188
更新日期：2001-01-01 00:00:00
abstract：PURPOSE:The aim of this study was to determine the clinicopathological characteristics and outcomes of Chinese colorectal cancer (CRC) patients aged 75 years and older undergoing potentially curative surgery. METHODS:A total of 2,482 CRC patients at TNM stage I-III undergoing surgical treatment between 1995 and 2005 w...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-013-0507-7
更新日期：2014-01-01 00:00:00
abstract：:Invasive micropapillary carcinoma is characterized by extensive lymph node metastasis and a poor prognosis. This histological variant was first described in breast cancer, with a few subsequent reports of it in the ampullo-pancreato-biliary region. We report a case of invasive micropapillary carcinoma of the papilla o...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-010-4330-0
更新日期：2010-12-01 00:00:00
abstract：:Mucormycosis is an uncommon opportunistic fungal infection that may develop in immunocompromised patients with conditions such as diabetes mellitus, leukemia, lymphoma, or human immunodeficiency virus (HIV), or after transplantation with immunosupperessive therapy. We report a case of gastric perforation caused by a m...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-006-3246-1
更新日期：2006-01-01 00:00:00
abstract：:Unresected hilar cholangiocarcinoma has a dismal prognosis, but advances in staging and surgical techniques have given well-selected patients a chance of long-term survival if curative resection is possible. This review summarizes the state of the art in diagnosis, treatment, and outcome for patients with biliary obst...
journal_title：Surgery today
pub_type： 杂志文章,评审
doi：10.1007/s00595-004-2832-3
更新日期：2004-01-01 00:00:00
abstract：PURPOSE:There is evidence that blood transfusion is associated with an increased rate of tumor recurrence. This study was conducted to assess the survival advantage of giving autologous blood instead of allogeneic blood during surgery for esophageal cancer. METHODS:We retrospectively analyzed 62 patients who underwent...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s005950200191
更新日期：2002-01-01 00:00:00
abstract：:A 41-year-old woman presented with severe and sudden anterior neck swelling, pain, and dysphagia. Computed tomography (CT) scan and ultrasound of the neck showed a giant mass in the retropharyngeal space, displacing the trachea and esophagus anteriorly. Aspiration cytology was done, following which extensive cervical ...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s005950300080
更新日期：2003-01-01 00:00:00
abstract：:This study was conducted to evaluate the efficiency of polymeric clips in minimally invasive surgery. Absorbable polymeric clips were applied to the cystic duct, appendicular stump, and blood vessels in 35 patients undergoing laparoscopic or thoracoscopic procedures. All patients were reviewed 3 months after their ope...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/BF02482340
更新日期：1999-01-01 00:00:00
abstract：PURPOSE:Our previous studies showed that tumor necrosis factor (TNF)-alpha and interleukin (IL)-6 are induced after hemorrhagic shock and that their induction is attenuated by hyperbaric oxygen treatment. In this study, we tried to identify the cell types in the liver that are responsible for the increase in TNF-alpha ...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s005950200130
更新日期：2002-01-01 00:00:00
abstract：:We report a case of an aortobronchial fistula causing massive hemoptysis, which was managed by emergency stent grafting. Although this procedure was successful initially, the aortobronchial fistula appeared again 7 months later. Aneurysmectomy, followed by rifampicin-soaked gelatin sealed polyester graft replacement a...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-008-3997-y
更新日期：2010-01-01 00:00:00
abstract：PURPOSE:Recently, single-incision thoracoscopic surgery (SITS) has been recognized as a favorable treatment choice for primary spontaneous pneumothorax (PSP) compared with conventional three-port video-assisted thoracoscopic surgery (VATS). However, conventional SITS bullectomy often results in collisions with surgical...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-017-1483-0
更新日期：2017-09-01 00:00:00
abstract：:Thromboangiitis obliterans (TAO), also known as Buerger's disease, is an important cause in India of chronic arterial occlusion of the limbs. The current modalities of therapy do not provide adequate relief to a large number of these patients. An omentum autotransplantation to the lower limbs was performed in three pa...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/BF02482978
更新日期：1999-01-01 00:00:00
abstract：:We report a case of nontraumatic, spontaneous venous aneurysm of the left axillary vein. This case may represent only the second such case ever reported in the English-language medical literature. Venous aneurysms are often associated with trauma, arteriovenous fistula, or other venous abnormal hemodynamic conditions,...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-004-2957-4
更新日期：2005-01-01 00:00:00
abstract：PURPOSE:An incisional surgical site infection (I-SSI) is a frequently observed complication following colorectal surgery. Intraoperative wound management is one of the most important factors that determine the incidence of postoperative I-SSI. The purpose of this study was to assess the impact of the methods used for i...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-013-0677-3
更新日期：2014-07-01 00:00:00
abstract：PURPOSE:Esophageal achalasia can be roughly divided into non-sigmoid and sigmoid types. Laparoscopic surgery has been reported to be less than optimally effective for sigmoid type. The aim of this study was to examine the impact of the esophageal flexion level on the clinical condition and surgical outcomes of patients...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-017-1519-5
更新日期：2017-11-01 00:00:00
abstract：PURPOSE:The prognosis for gastric cancer patients with peritoneal metastasis is poor. Many studies have reported that the neutrophil/lymphocyte ratio (NLR) might be useful to predict the degree of progression of gastric cancer. In this study, we attempted to evaluate whether the NLR and other related laboratory paramet...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-014-0917-1
更新日期：2014-11-01 00:00:00
abstract：:Lung cancer associated with Sweet's syndrome is extremely rare. There are only seven reports of such cases. As far as could be determined from a comprehensive search, there is no reported operative case of lung cancer with this syndrome in the world literature. A 75-year-old Japanese man was diagnosed as having Sweet'...
journal_title：Surgery today
pub_type： 杂志文章,评审
doi：10.1007/s00595-007-3683-5
更新日期：2008-01-01 00:00:00
abstract：PURPOSE:To compare the outcomes and efficacy of awake video-assisted thoracic surgery (VATS) with those of chemical pleurodesis for intractable secondary spontaneous pneumothorax (SSP). METHODS:We analyzed, retrospectively, 60 consecutive patients who underwent awake VATS (n = 22) or chemical pleurodesis (n = 38) for ...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-016-1309-5
更新日期：2016-11-01 00:00:00
abstract：:Signet-ring cell carcinoma (SRCC) is rare in the biliary system. We report a case of SRCC coexisting with adenocarcinoma, arising in a choledochal cyst of the extrahepatic bile duct. The patient was a 52-year-old man, hospitalized for the investigation of jaundice and pruritus. Abdominal computed tomography and magnet...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-014-1049-3
更新日期：2015-08-01 00:00:00
abstract：PURPOSE:Double tract reconstruction (DT) after proximal gastrectomy (PG) is considered beneficial for postoperative nutrition status by preserving the physiological passage of food. We conducted this study to assess postoperative nutrition status based on food passage after this operation. METHODS:The subjects of this...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-019-01799-5
更新日期：2019-09-01 00:00:00
abstract：PURPOSE:Sacrococcygeal pilonidal sinus disease (SPSD) is a disease affecting young patients, which results in a long-term loss of productive power, and also tends to have high rates of morbidity since it has no ideal treatment. The main purpose of this study was to investigate the effectiveness of topical collagenase i...
journal_title：Surgery today
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s005950300022
更新日期：2003-01-01 00:00:00
abstract：:An 80-year-old woman was admitted to our hospital complaining of severe abdominal and back pain. Computed tomography (CT) showed an 8.5 x 7.0-cm infrarenal abdominal aortic aneurysm (AAA) with a large contained retroperitoneal hematoma. Known situs inversus totalis was reconfirmed by CT. Just after the CT examination,...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-007-3616-3
更新日期：2008-01-01 00:00:00
abstract：:We report herein the case of a 72-year-old man in whom a nonanastomotic pseudoaneurysm arose from a reinforced ringed expanded polytetrafluoroethylene (EPTFE) graft (Gore-Tex, Flagstaff, AZ, USA) following an axillobifemoral bypass. The pseudoaneurysm developed 2 years after graft insertion and induced graft thrombosi...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/BF00311801
更新日期：1996-01-01 00:00:00
abstract：:Presented herein is the case of a 27-year-old man in whom an endobronchial tumor was found causing complete obstruction of the left main bronchus. The tumor was successfully removed by performing sleeve resection of the left main bronchus without pulmonary resection, immediately following which the left lung became re...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/BF00311091
更新日期：1995-01-01 00:00:00
abstract：PURPOSE:To evaluate the safety of early chest tube removal after thoracic esophagectomy with three-field dissection. METHODS:This prospective cohort study evaluated patients who underwent thoracic esophagectomy with three-field dissection during 2013-2015. Patients were divided into two groups according to whether the...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-018-1694-z
更新日期：2018-11-01 00:00:00
abstract：:Fibrolamellar hepatocellular carcinoma (FHCC), a rare variant of hepatocellular carcinoma, is becoming more prevalent; however, up until 1999, only 18 cases had been reported in Japan. We recently diagnosed a case of FHCC in a 46-year-old Japanese man who had visited four hospitals before being finally admitted to our...
journal_title：Surgery today
pub_type： 杂志文章,评审
doi：10.1007/s005950200015
更新日期：2002-01-01 00:00:00
abstract：:The changes in myosin light chain I (MLC I) following aortocoronary bypass were studied in 31 patients and the curves of these changes were classified into three different patterns. A peak level of 14.7 +/- 1.54 ng/ml was seen in seven patients on postoperative day (POD) 2 which decreased suddenly to less than twice t...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/BF00311531
更新日期：1995-01-01 00:00:00
abstract：:Pancreatic complex deep injury extending to the main pancreatic duct (MPD), caused by strong external forces such as traffic accidents, is lethal without emergency surgery. However, the best surgical procedure for this serious injury has not been established. The Bracey procedure is a relatively simple reconstructive ...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-018-1667-2
更新日期：2018-09-01 00:00:00
abstract：:The Japanese Society for the Study of Postoperative Morbidity after Gastrectomy conducted a nationwide questionnaire survey to clarify the current status of reconstruction after gastrectomy. One hundred and forty-five institutions (66%) responded to the survey. The questionnaire dealt with the reconstruction after a d...
journal_title：Surgery today
pub_type： 杂志文章,评审
doi：10.1007/s00595-012-0159-z
更新日期：2012-05-01 00:00:00
abstract：PURPOSE:The Cox maze IV (CMIV) procedure is being used increasingly frequently for surgical ablation of atrial fibrillation (AF). This study aimed to identify the risk factors of the need for postoperative pacemaker implantation (PMI) after CMIV. METHODS:Preoperative, intraoperative, and postoperative data were retros...
journal_title：Surgery today
pub_type： 杂志文章
doi：10.1007/s00595-017-1614-7
更新日期：2018-05-01 00:00:00
