Alkatta Mohamed A, Mejally Abdallah
Sana'a University, Medical Surgery, Sana'a, Yemen.
Turk J Surg. 2019 Dec 16;35(4):278-284. doi: 10.5578/turkjsurg.4368. eCollection 2019 Dec.
This study aimed to estimate simple excision and tension free primary closure and to study its effectiveness in terms of operating and healing time, duration of hospital stay, degree of post operation complications, and rate of recurrence.
This is study included 78 patients, of whom 71 were (91%) males and 7 (9%) females, who underwent excision and tension free closure. The procedure was based on bilateral side flaps, which were released and dissected 2-3 cm from the edge of the wound. Patient's age, gender, body mass index, wound healing, operation, drain removal, length of hospital stay, and complications and recurrence were analysed.
The study involved 78 patients, 71 (91%) males and 7 (9%) females. Median age of the patients was 28.5 years. Mean operation time was 44.6 minutes . Sixty-one patients (78.2%) had full primary healing without any complication. No one had hematoma or seroma, but five (6.4%) cases had a minor wound infection and three (3.8%) obese patients developed recurrence. Mean length of hospital stay was 2.5 days , most patients went back to their work within 3 weeks. Median follow-up period was in a 26.2 weak range (1-51.4 weak). Five (6.41%) cases had wound infection and three (3.85%) developed recurrence.
Excision and tension free primary closure were found to be simple procedures associated with lower rates of wound infection, shorter hospital stay, lower recurrence, early wound recovery and short period of being absent from work. Surgery can be easily performed and preferred for cases of non-recurrent pilonidal sinus and cyst.
本研究旨在评估单纯切除术及无张力一期缝合术，并从手术时间、愈合时间、住院时长、术后并发症程度及复发率方面研究其有效性。
本研究纳入78例患者，其中71例（91%）为男性，7例（9%）为女性，均接受了切除及无张力缝合术。该手术基于双侧皮瓣，从伤口边缘2 - 3厘米处游离并切开。分析了患者的年龄、性别、体重指数、伤口愈合情况、手术情况、引流管拔除情况、住院时长、并发症及复发情况。
本研究涉及78例患者，71例（91%）为男性，7例（9%）为女性。患者的中位年龄为28.5岁。平均手术时间为44.6分钟。61例患者（78.2%）实现一期完全愈合，无任何并发症。无人出现血肿或血清肿，但5例（6.4%）出现轻微伤口感染，3例（3.8%）肥胖患者出现复发。平均住院时长为2.5天，大多数患者在3周内恢复工作。中位随访期为26.2周（1 - 51.4周）。5例（6.41%）出现伤口感染，3例（3.85%）出现复发。
切除及无张力一期缝合术是简单的手术，伤口感染率较低、住院时间较短、复发率较低、伤口恢复早且误工时间短。该手术操作简便，对于非复发性藏毛窦和囊肿病例是首选方法。
