Zorlu Musa, Şahiner İbrahim Tayfun, Zobacı Ethem, Kocak Cem, Yastı Ahmet Çınar, Dolapçı Mete
Department of General Surgery, Medical Faculty of Hitit University, Çorum, Turkey.
Department of General Surgery, Çorum Research and Training Hospital, Medical Faculty of Hitit University, Çorum, Turkey.
Ann Surg Treat Res. 2016 May;90(5):265-71. doi: 10.4174/astr.2016.90.5.265. Epub 2016 May 2.
The objective of the present study was to compare different off-midline techniques in terms of their advantages and disadvantages.
A total of 81 patients were included in this prospective, controlled, randomized study. Patients in group 1 were treated with the Limberg flap, and patients in group 2 were treated with Mutaf technique. Patients were followed up for 9 months postsurgically and assessed at regular intervals.
A total of 41 and 40 patients received surgical treatment with Limberg or Mutaf techniques, respectively. The 2 groups were similar in terms of age, gender, body mass index, and Tezel pilonidal sinus classification. Also, the 2 groups were comparable with regard to the frequency of preoperative discharge from the wound site, history of abscess formation, and the resultant antibiotic use. Early results showed similar recurrence rates and surgical-site complications between the 2 groups. Although a lower visual analogue scale score was found in group 2 at postoperative day 1, seroma persistence, time to withdrawal of surgical drains, and wound healing were more prolonged.
In this study, Mutaf technique was comparable to Limberg flap in the treatment of pilonidal sinus. Therefore, Mutaf technique may be offered as a viable surgical therapeutic option among off-midline closure approaches.
本研究的目的是比较不同的中线外技术的优缺点。
本前瞻性、对照、随机研究共纳入81例患者。第1组患者采用Limberg皮瓣治疗，第2组患者采用Mutaf技术治疗。术后对患者进行9个月的随访，并定期进行评估。
分别有41例和40例患者接受了Limberg或Mutaf技术的手术治疗。两组在年龄、性别、体重指数和Tezel藏毛窦分类方面相似。此外，两组在伤口部位术前引流频率、脓肿形成病史和抗生素使用情况方面具有可比性。早期结果显示两组之间的复发率和手术部位并发症相似。虽然术后第1天第2组的视觉模拟评分较低，但血清肿持续时间、拔除手术引流管的时间和伤口愈合时间更长。
在本研究中，Mutaf技术在治疗藏毛窦方面与Limberg皮瓣相当。因此，Mutaf技术可作为中线外闭合方法中一种可行的手术治疗选择。
