Ferahman S, Donmez T, Surek A, Orhan A, Ozcevik H
Department ofGeneral Surgery, BakırkoyDrSadi Konuk Training and Research Hospital, MinistryofHealth, Istanbul, Turkey.
Departmentof General Surgery, Inebolu Goverment Hospital, Kastamonu, Turkey.
Hippokratia. 2020 Apr-Jun;24(2):84-87.
Globally, the term pilonidal sinus disease (PSD) is most frequently used for lesions in the sacrococcygeal region. The inter-mammary sulcus is a rare location for pilonidal sinus abscesses. Our study examined the causes of inter-mammary PSD (IMPSD), which is rarely seen in the literature and our treatment approach.
We retrospectively analyzed patients referred to our hospital's general surgery clinic between 2012 and 2018. Twelve patients were operated on for IMPSD during these six years. An excision, including all sinus openings, was planned, and a D-shaped incision was performed. Sinus openings and tracts underlying the skin were excised . Subcutaneous flaps were created to shift the incision from the midline plane to reduce the recurrence rate. The minimum duration for the follow-up was 24 months. Eight patients were suffering from polycystic ovary syndrome. Progesterone and testosterone levels of the patients were normal. Prior studies evaluating PSD and hormone levels of female patients showed no correlation.
IMPSD is a disease that should be kept in mind if induration and abscess in the inter-mammary region are present. The risk of recurrence is high if no proper excision is planned. A D-shaped incision including all sinus tract openings and a midline shift prevented our series' possible recurrences. HIPPOKRATIA 2020, 24(2): 84-87.
在全球范围内，藏毛窦疾病（PSD）一词最常用于描述骶尾部区域的病变。乳腺间沟是藏毛窦脓肿的罕见部位。我们的研究探讨了乳腺间藏毛窦疾病（IMPSD）的病因，该疾病在文献中很少见，同时也探讨了我们的治疗方法。
我们回顾性分析了2012年至2018年间转诊至我院普通外科门诊的患者。在这六年中，有12例患者因IMPSD接受了手术。计划进行包括所有窦口的切除，并进行D形切口。切除皮肤下的窦口和窦道。制作皮下皮瓣以使切口从中线平面移位，以降低复发率。随访的最短时间为24个月。8例患者患有多囊卵巢综合征。患者的孕酮和睾酮水平正常。先前评估PSD与女性患者激素水平的研究未显示相关性。
如果乳腺间区域存在硬结和脓肿，应考虑IMPSD这种疾病。如果没有计划进行适当的切除，复发风险很高。包括所有窦道开口的D形切口和中线移位避免了我们系列病例中的可能复发。《希波克拉底》2020年，第24卷（2）：84 - 87页。
