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Erschienen in: European Surgery 6/2017

03.11.2017 | original scientific paper

Videoendoscopic pilonidal sinus surgery: early results with a new technique

verfasst von: Enver Kunduz, MD, Ufuk Oguz Idiz, MD TC, Prof. Erhan Aysan, MD, Mehmet Guzel, MD, Yunus Yapalak, MD, Lutfullah Baskoy, MD

Erschienen in: European Surgery | Ausgabe 6/2017

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Summary

Background

We adapted a laparoscopic surgical technique to sacrococcygeal pilonidal sinus disease (SPSD) treatment.

Methods

The study included 18 cases. All patients were operated on under spinal anesthesia. Two 5‑mm trocars were placed 5 cm lateral to the intergluteal area. Sinus tracts, granulation tissues, and surrounding inflamed areas were dissected and removed through the trocar openings.

Results

Recurrence was detected in two patients within the first 3 months. Skin burn was observed in one patient and hematoma developed in another patient. All recurrences and complications were seen in the first group of nine cases. The mean follow-up period was 71.5 months (58–79 months). The mean operation time was 44 min and the mean hospital stay was 1 day.

Conclusion

Herein, we describe for the first time a lateral access videoendoscopic technique. After a learning curve, this minimally invasive new technique for SPSD treatment may reduce recurrences, wound complications, and the wide incision required by other techniques.
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Metadaten
Titel
Videoendoscopic pilonidal sinus surgery: early results with a new technique
verfasst von
Enver Kunduz, MD
Ufuk Oguz Idiz, MD TC
Prof. Erhan Aysan, MD
Mehmet Guzel, MD
Yunus Yapalak, MD
Lutfullah Baskoy, MD
Publikationsdatum
03.11.2017
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 6/2017
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-017-0497-6

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