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Sinus laser closure (SiLaC) versus Limberg flap in management of pilonidal disease: A short-term non-randomized comparative prospective study
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohammed Abdullah AlAmin
Staff Zu Site
Abstract In Staff Site
Journal:
Asian Journal of Surgery Asian Journal of Surgery
Volume:
Keywords :
Sinus laser closure (SiLaC) versus Limberg
Abstract:
Introduction: Fistula Laser Closure (FiLAC) is a method that was originally applied in the treatment of perianal fistulas. Because of promising results, diode lasers were later on used to treat pilonidal sinus disease in a method called sinus Laser Closure (SiLaC). The aim of this study is to compare between SiLaC and Limberg flap in management of pilonidal disease. Methods: A prospective, nonrandomized comparative study. A short-term follow-up of 71 patients with pilonidal disease was analyzed (24 operated on using the SiLaC technique and 47 using the Limberg technique). With a primary outcome is healing rate and recurrence and a secondary outcome is other measures i.e. complications, hospital stay and postoperative pain. Results: The median operative time in the SiLaC group was 26.45 ± 5.41 min (20e35 min) and in the Limberg group 58.63 ± 7.42 min (50e75 min). In the SiLaC group, the primary healing was achieved in 23 out of 24 patients (95.8%) with a total complication rate of 20.83%. There were two cases of recurrence after initial healing in each group. Conclusion: Sinus laser Closure (SiLaC) is comparable to Limberg flap technique in the terms of healing rate and recurrence with better outcome regarding operative time, hospital stay and post-operative pain.
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Mohammed Abdullah AlAmin, "Evaluation of Different Methods of Treatment of Pilonidal Sinus; a Randomized Controlled Trial", Zagazig University Medical Journal, 2021
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Department Related Publications
Ahmed Alsayed Ahmed Lashen, "التحويل البروتينى الصافى باستخدام انبوبة جلدية للتوصيل بينهما كعلاج لاستسقاء المقاوم", لايوجد, 1900
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Ahmed Alsayed Ahmed Lashen, "تصليح المبال التحتانى بواسطة قطعة جلد قضيبى " محاولة لايجاد طريقة جديدة", لايوجد, 1900
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Ahmed Alsayed Ahmed Lashen, "غلق جروح الوجة من خلال اسلوب الرفة", لايوجد, 1900
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Ahmed Mosaad Ibrahiem Nagieb, "استخدام الجراحة القرنية في صرف خراج الكلية ", لايوجد, 1900
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Ahmed Mosaad Ibrahiem Nagieb, "السرقوم الكيسي الفرن الكيسي عرض لطريقة علاجية مع دراسة اكلينيكية وباثولوجية ", لايوجد, 1900
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