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    Ultrasonographic Evaluation of Flap Thickness In Patients with Pilonidal Sinus-Original Article
    (2018) Asil, Kıyasettin; Uzunoğlu, Mustafa Yener; Dikicier, Enis; Zengin, İsmail; Altıntoprak, Fatih; Arslan, Yusuf
    Aim Various risk factors have been defi ned for recurrence in pilonidal disease. This study was designed to investigate the local subcutaneoustissue thickness in patients who were operated on for sacrococcygeal pilonidal disease. ( Sakarya Med J 2018, 8(3):505-510)Methods Ninety-eight patients who had been operated in General Surgery Clinics of Sakarya University Research and Educational Hospital on withthe diagnosis of pilonidal sinus were retrospectively evaluated between January 2008 and January 2014. In evaluation of the fl ap thickness,the nearest and farthest margins were measured by ultrasonography between the skin and sacrum.This is a cross-sectional and descriptivestudy and local ethics approval was obtained from Sakarya University Medical SchoolResults Resection and primary closure and Limberg fl ap transposition were performed in 46 (46.9%) and 52 (53.1%) patients, respectively. Meanfl ap thickness was found to be 17.2 mm (range: 3.9 - 36.4) and 20.5 mm (range: 4.0 - 42.3) in the primary repair group and the Limberggroup, respectively. The recurrence rate was 10.8% in the primary repair group, 3.8% in the Limberg group at a mean of 27.1 months(range: 12-54 months) of follow-up.Conclusion Subcutaneous tissue thickness in the place of surgery was greater in patients with the Limberg fl ap procedure compared to the patientswith primary closure in pilonidal sinus disease. Flap thickness may be a parameter that can be used to predict the possibilty of recurrence
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    Ultrasonographic evaluation of flap thickness in patients with pilonidal sinus-original article
    (2018) Dikicier, Enis; Altıntoprak, Fatih; Uzunoğlu, Mustafa Yener; Arslan, Yusuf; Asil, Kıyasettin; Zengin, İsmail
    Aim Various risk factors have been defi ned for recurrence in pilonidal disease. This study was designed to investigate the local subcutaneous tissue thickness in patients who were operated on for sacrococcygeal pilonidal disease. ( Sakarya Med J 2018, 8(3):505-510) Methods Ninety-eight patients who had been operated in General Surgery Clinics of Sakarya University Research and Educational Hospital on with the diagnosis of pilonidal sinus were retrospectively evaluated between January 2008 and January 2014. In evaluation of the fl ap thickness, the nearest and farthest margins were measured by ultrasonography between the skin and sacrum.This is a cross-sectional and descriptive study and local ethics approval was obtained from Sakarya University Medical School Results Resection and primary closure and Limberg fl ap transposition were performed in 46 (46.9%) and 52 (53.1%) patients, respectively. Mean fl ap thickness was found to be 17.2 mm (range: 3.9 - 36.4) and 20.5 mm (range: 4.0 - 42.3) in the primary repair group and the Limberg group, respectively. The recurrence rate was 10.8% in the primary repair group, 3.8% in the Limberg group at a mean of 27.1 months (range: 12-54 months) of follow-up. Conclusion Subcutaneous tissue thickness in the place of surgery was greater in patients with the Limberg fl ap procedure compared to the patients with primary closure in pilonidal sinus disease. Flap thickness may be a parameter that can be used to predict the possibilty of recurrence