Tumescent Local Anesthesia for Excision and Flap Procedures in Treatment of Pilonidal Disease

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dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidPiskin, Turgut/HKV-8614-2023
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorOlmez, Aydemir
dc.contributor.authorAydin, Cemalettin
dc.contributor.authorPiskin, Turgut
dc.date.accessioned2024-08-04T20:31:21Z
dc.date.available2024-08-04T20:31:21Z
dc.date.issued2009
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPURPOSE: We describe our experience with tumescent local anesthesia for excision and flap procedures in the treatment of pilonidal disease. METHODS: Forty consecutive patients with symptomatic pilonidal disease were treated. Tumescent solution was prepared by mixing one volume of a lidocaine (20 mg/ml) and adrenaline (0.0125 mg/ml) combination with 9 volumes of lactated Ringer's solution. The final solution was infiltrated gradually and liberally, first subcutaneously and then into the skin. The end point was swollen and firm skin. After excision, the area was filled with an advancement flap or a rotational flap. RESULTS: The study group consisted of 37 men (92.5%) and 3 women (7.5%); mean age, 27 (range, 18-61) years. The amount of injected solution ranged from 60 mL to 140 mL (mean, 100 mL; dose interval, 2-4 mg/kg). No additional anesthesia or sedation was needed, and no complications were observed during the procedure. Half of the patients were discharged on the day of the operation, half on the next day. Follow-up ranged from 13 to 37 months. Patients returned to daily activities after a mean of 10.5 (range, 2-30) days. Primary healing occurred uneventfully in 28 patients (70%); wound healing complications occurred in 12 (30%). No flap necrosis was observed. Thirty-seven (92.5%) patients reported satisfaction with the procedure. Recurrence was observed in 3 patients (7.5%). CONCLUSIONS: Excision and flap procedures for sacrococygeal pilonidal disease can be performed under tumescent local infiltration anesthesia with acceptable results, without requiring regional or general anesthesia.en_US
dc.identifier.doi10.1007/DCR.0b013e3181b553bb
dc.identifier.endpage1783en_US
dc.identifier.issn0012-3706
dc.identifier.issn1530-0358
dc.identifier.issue10en_US
dc.identifier.pmid19966613en_US
dc.identifier.scopus2-s2.0-70350093399en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1780en_US
dc.identifier.urihttps://doi.org/10.1007/DCR.0b013e3181b553bb
dc.identifier.urihttps://hdl.handle.net/11616/94893
dc.identifier.volume52en_US
dc.identifier.wosWOS:000273645300016en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofDiseases of The Colon & Rectumen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPilonidal diseaseen_US
dc.subjectSkin flapsen_US
dc.subjectLocal anesthesiaen_US
dc.subjectDay-case surgeryen_US
dc.subjectTumescent local infiltrationen_US
dc.titleTumescent Local Anesthesia for Excision and Flap Procedures in Treatment of Pilonidal Diseaseen_US
dc.typeArticleen_US

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