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      KCI등재 SCOPUS

      광범위 절제와 전진근막피부피판술을 이용한 천미부 모소동의 수술적 치료 = Surgical Treatment of Sacrococcygeal Pilonidal Sinus using Wide Excision and Coverage with Fasciocutaneous Advancement Flap

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      https://www.riss.kr/link?id=A104554212

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      다국어 초록 (Multilingual Abstract)

      Purpose: Sacrococcygeal pilonidal sinus is a chronic inflammatory disease that mostly affects young people, which warrants surgical intervention. Although many surgical methods have been suggested, an optimal surgical method remains controversial because of high recurrence rates and postoperative complications. The objective of this study is to evaluate the results of wide excision and coverage with fasciocutaneous advancement flap for the treatment of sacrococcygeal pilonidal sinus, and to assess the usefulness of this methodMethods: From May 1995 to October 2006, the authors treated 19 patients with the use of coverage with fasciocutaneous flap after wide excision. The results were evaluated regarding recurrence rates, complications, and the change in sensitivity of the gluteal region after surgery. The follow-up period was 7 to 142 months (mean, 76 months). All patients were male.Results: Postoperative complications were wound infection at the suction drain insertion site and skin necrosis around the suture margin in one case, respectively. During the follow up period, only one recurrence (5.3%) was seen in fifth postoperative month, which was successfully treated by the same operative procedure. There was no other complications such as seroma, hematoma, wound dehiscence and flap loss. Extensive scarring and anatomic distortion did not occur in the reconstructed area. In addition, sensitivity of the gluteal region did not diminish. The aesthetic results were satisfactory for all patients as well. Conclusion: The authors advocate that fasciocutaneous flap closure be a good alternative method to cover defects after the excision of sacrococcygeal pilonidal sinus.
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      Purpose: Sacrococcygeal pilonidal sinus is a chronic inflammatory disease that mostly affects young people, which warrants surgical intervention. Although many surgical methods have been suggested, an optimal surgical method remains controversial beca...

      Purpose: Sacrococcygeal pilonidal sinus is a chronic inflammatory disease that mostly affects young people, which warrants surgical intervention. Although many surgical methods have been suggested, an optimal surgical method remains controversial because of high recurrence rates and postoperative complications. The objective of this study is to evaluate the results of wide excision and coverage with fasciocutaneous advancement flap for the treatment of sacrococcygeal pilonidal sinus, and to assess the usefulness of this methodMethods: From May 1995 to October 2006, the authors treated 19 patients with the use of coverage with fasciocutaneous flap after wide excision. The results were evaluated regarding recurrence rates, complications, and the change in sensitivity of the gluteal region after surgery. The follow-up period was 7 to 142 months (mean, 76 months). All patients were male.Results: Postoperative complications were wound infection at the suction drain insertion site and skin necrosis around the suture margin in one case, respectively. During the follow up period, only one recurrence (5.3%) was seen in fifth postoperative month, which was successfully treated by the same operative procedure. There was no other complications such as seroma, hematoma, wound dehiscence and flap loss. Extensive scarring and anatomic distortion did not occur in the reconstructed area. In addition, sensitivity of the gluteal region did not diminish. The aesthetic results were satisfactory for all patients as well. Conclusion: The authors advocate that fasciocutaneous flap closure be a good alternative method to cover defects after the excision of sacrococcygeal pilonidal sinus.

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      참고문헌 (Reference)

      1 Middleton MD, "Treatment of pilonidal sinus by Z- plasty" 55 : 516-, 1968

      2 Eryilmaz R, "Surgical treatment of sacrococcygeal pilonidal sinus with the Limberg transposition flap" 134 : 745-, 2003

      3 Lineaweaver WC, "Squamous carcinoma arising in a pilonidal sinus" 27 : 239-, 1984

      4 Onishi K, "Sacral adipofascial turn-over flap for the excisional defect of pilonidal sinus" 108 : 2006-, 2001

      5 Hodges RM, "Pilonidal sinus" 103 : 485-, 1880

      6 Nelson H, "Pilonidal disease, In Sabiston Textbook of Surgery" Saunders 1500-, 2004

      7 Culp CE, "Pilonidal disease and its treatment" 47 : 1007-, 1967

      8 da Silva JH, "Pilonidal cyst: cause and treatment" 43 : 1146-, 2000

      9 Khatri VP, "Management of recurrent pilonidal sinus by simple V-Y fasciocutaneous flap" 37 : 1232-, 1994

      10 Rosen W, "Gluteus maximus musculocutaneous flap for the treatment of recalcitrant pilonidal disease" 37 : 293-, 1996

      1 Middleton MD, "Treatment of pilonidal sinus by Z- plasty" 55 : 516-, 1968

      2 Eryilmaz R, "Surgical treatment of sacrococcygeal pilonidal sinus with the Limberg transposition flap" 134 : 745-, 2003

      3 Lineaweaver WC, "Squamous carcinoma arising in a pilonidal sinus" 27 : 239-, 1984

      4 Onishi K, "Sacral adipofascial turn-over flap for the excisional defect of pilonidal sinus" 108 : 2006-, 2001

      5 Hodges RM, "Pilonidal sinus" 103 : 485-, 1880

      6 Nelson H, "Pilonidal disease, In Sabiston Textbook of Surgery" Saunders 1500-, 2004

      7 Culp CE, "Pilonidal disease and its treatment" 47 : 1007-, 1967

      8 da Silva JH, "Pilonidal cyst: cause and treatment" 43 : 1146-, 2000

      9 Khatri VP, "Management of recurrent pilonidal sinus by simple V-Y fasciocutaneous flap" 37 : 1232-, 1994

      10 Rosen W, "Gluteus maximus musculocutaneous flap for the treatment of recalcitrant pilonidal disease" 37 : 293-, 1996

      11 Karydakis GE, "Easy and successful treatment of pilonidal sinus after explanation of its causative process" 62 : 385-, 1992

      12 Fazeli MS, "Comparison of outcomes in Z-plasty and delayed healing by secondary intention of the wound after excision of the sacral pilonidal sinus: results of a randomized, clinical trial" 49 : 1831-, 2006

      13 Park JG, "Coloproctology" Ilchokak 219-, 2005

      14 Senapati A, "Bascom's operation in the day-surgical management of symptomatic pilonidal sinus" 87 : 1067-, 2000

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2012-01-15 학술지명변경 한글명 : 대한성형외과 학회지 -> Archives of Plastic Surgery
      외국어명 : Journal of The Korean Society of Plastic and Reconstructive Surgeons -> Archives of Plastic Surgery
      KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2004-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2003-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2001-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.12 0.12 0.12
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.12 0.11 0.335 0.02
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