当前位置： SCI文献检索 > AMERICAN JOURNAL OF SURGERY期刊下所有文献 > Distal scar-to-midline distance in pilonidal Limberg flap surgery is a recurrence-promoting factor: A multicenter, case-control study.

Distal scar-to-midline distance in pilonidal Limberg flap surgery is a recurrence-promoting factor: A multicenter, case-control study.

Abstract：

BACKGROUND:The Limberg flap (LF) procedure is widely performed for the treatment of sacrococcygeal pilonidal sinus (SPS); however, recurrences continues to be observed. The aim of this study was to assess the relationship between LF designs and the risk of SPS recurrence. METHODS:Sixty-one cases with recurrent disease (study group) and 194 controls, with a minimum of 5 recurrence-free years following surgery (control group), were included in the study. LF reconstructions performed in each group were classified as off-midline closure (OMC) and non-OMC types. Subsequently, the 2 groups were analyzed. RESULTS:After adjustment for all variables, non-OMC types showed the most prominent correlation with recurrence, followed by interrupted suturing type, family history of SPS, smoking, prolonged healing time, and younger age. The best cut-off value for the critical distance from the midline was found to be 11 mm (with 72% sensitivity and 95% specificity for recurrence). CONCLUSIONS:We recommend OMC modifications, with the flap tailored to create a safe margin of at least 2 cm between the flap borders and the midline.

journal_name

Am J Surg

journal_title

American journal of surgery

authors

Kaplan M,Ozcan O,Bilgic E,Kaplan ET,Kaplan T,Kaplan FC

doi

10.1016/j.amjsurg.2017.02.008

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

811-819

issue

5

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(17)30001-6

journal_volume

214

pub_type

杂志文章,多中心研究

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