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Comparison of Limberg Flap and Karydakis Flap Surgery for the Treatment of Patients With Pilonidal Sinus Disease: A Single-Blinded Parallel Randomized Study: Mina Alvandipour, Mohammad Sadegh Zamani, Mojtaba Ghorbani, Jamshid Yazdani Charati, Mohammad Yasin Karami; Ann Coloproctol. 2019;35(6):313-318. Published online May 22, 2019; DOI: https://doi.org/10.3393/ac.2018.09.27

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17 Web of Science
26 Citations

Purpose
Pilonidal sinus disease is a common condition, which mostly affects young men. While various surgical techniques have been introduced for treating intergluteal pilonidal disease (IPD), controversies still exist regarding the best surgical approach. The purpose of this study was to compare the efficiency and the short-term outcomes of Limberg flap and Karydakis flap surgeries for the treatments of patients with IPD.
Methods
A total of 80 patients with IPD who had underwent either Karydakis flap (KF group: n = 37) or Limberg flap (LF group: n = 27) surgery between January 2015 and January 2016 at Imam Khomeini Hospital of Sari in the North of Iran were recruited for inclusion in this randomized, single-blind study.
Results
Compared to the KF group, the LF group showed faster complete wound healing, longer duration of surgery and hospital stay, larger wound size, and shorter period of incapacity for work. The overall patient satisfaction in the LF group was significantly higher than that in the KF group. The visual analogue scale score of pain was lower in the LF group than in the KF group. Also, the overall frequency of postoperative complications was higher in the KF group than in the LF group. Recurrence was reported in one patient from the KF group.
Conclusion
Given the lower rate of postoperative complications and greater cosmetic satisfaction of patients, the Limberg flap procedure should be selected, instead of the Karydakis flap procedure, as the standard technique for treating patients with IPD.

Citations

Citations to this article as recorded by

Light-based Epilation as an Adjunct to Surgery in the Management of Pilonidal Disease: A Meta-analysis
Mody Kutkut, Ibrahim Khansa
Plastic and Reconstructive Surgery - Global Open.2026; 14(1): e7364. CrossRef
Short-term results of unroofing and marsupialization compared to the Karydakis technique in the treatment of pilonidal sinus. A randomized prospective study
Pedro Antonio Parra Baños, Nuria Martínez Sanz, Francisco Miguel González Valverde, Jorge Alejandro Benavides Buleje, Miguel Ruiz Marín, Emilio Peña Ros, Carmen Martínez Sanz, Mari Fe Candel Arenas
Cirugía Española (English Edition).2025; 103(1): 25. CrossRef
Resultados a corto plazo de la puesta a plano, curetaje y marsupialización frente a la técnica de Karydakis en el tratamiento del seno pilonidal. Estudio prospectivo aleatorizado
Pedro Antonio Parra Baños, Nuria Martínez Sanz, Francisco Miguel González Valverde, Jorge Alejandro Benavides Buleje, Miguel Ruiz Marín, Emilio Peña Ros, Carmen Martínez Sanz, Mari Fe Candel Arenas
Cirugía Española.2025; 103(1): 25. CrossRef
Langzeitergebnisse einer Pilotstudie über das zweizeitige Verfahren mit primärer Exzision und Limberg-Plastik im Intervall zur Therapie einer sakrokokzygealen Pilonidalsinuserkrankung
Michael Ardelt, Falk Rauchfuss, Felix Dondorf, Aladdin Ali Deeb, Astrid Bauschke, Oliver Rohland, Laura Schwenk, Utz Settmacher
Die Chirurgie.2025; 96(8): 667. CrossRef
Outcome After Surgical Treatment for Chronic Pilonidal Sinus Disease: A Systematic Review of Common Surgical Techniques
Ida-Marie Myron Wiinblad, Johan Ulrichsen, Birgitte Brandstrup
Diseases of the Colon & Rectum.2025; 68(5): 515. CrossRef
Ovine Forestomach Matrix Graft Reduces Surgical Dehiscence in Fasciocutaneous Flap-Based Closure of Pilonidal Disease: A Comparative Study
Yosef Nasseri, Kimberly Oka, Kristina La, Rachel Ma, Christopher Frampton, Jessica Simon, Adam Young, Moshe Barnajian
Cureus.2025;[Epub] CrossRef
Midline and off-midline wound closure methods after surgical treatment for pilonidal sinus
Zhaolun Cai, Zhou Zhao, Qin Ma, Chaoyong Shen, Zhiyuan Jiang, Chunyu Liu, Chunjuan Liu, Bo Zhang
Cochrane Database of Systematic Reviews.2024;[Epub] CrossRef
A new method for wound defect closure after pilonidal sinus excision
E. N. Shubrov, A G. Baryshev, K. V. Triandafilov
Koloproktologia.2024; 23(1): 129. CrossRef
The application of ERAS in pilonidal sinus: comparison of postoperative recovery between primary suture and Limberg flap procedure in a multicenter prospective randomized trial
Wei Lu, Shujuan Huang, Hui Ye, Shang Xiang, Xiangsheng Zeng
Frontiers in Surgery.2024;[Epub] CrossRef
Management and outcomes of pilonidal patients with secondary sinuses—a cohort study
Norah E. Liang, Claire Abrajano, Kyla Santos Dalusag, Bill Chiu
Pediatric Surgery International.2024;[Epub] CrossRef
Dutch national guideline on the management of intergluteal pilonidal sinus disease
Eleonora A Huurman, Christel A L de Raaff, Pim C E J Sloots, Oren Lapid, Hessel H van der Zee, Wilfred Bötger, Sandra Janssen, Francine Das, Andrea L J Kortlever-van der Spek, Anja van der Hout, Bas P L Wijnhoven, Boudewijn R Toorenvliet, Robert M Smeenk
British Journal of Surgery.2024;[Epub] CrossRef
Comparison of Outcome between Limberg Flap and Karydakis Flap in Pilonidal Sinus Disease
Madeeha Shahid, Muhammad Khalid, Nazia Qamar, Salman Zafar, Sadia Sundus, Abdul Rehman
Pakistan Journal of Health Sciences.2024; : 174. CrossRef
The application of the Limberg flap repair technique in the surgical treatment of pilonidal sinus disease
Yaoyao Song, Yu Zang, Zequn Chen, Jianjun Li, Minhui Zhu, Hongjuan Zhu, Wanli Chu, Gang Liu, Chuan'an Shen
International Wound Journal.2023; 20(6): 2241. CrossRef
Management of Pilonidal Disease
Lindsay A. Gil, Katherine J. Deans, Peter C. Minneci
JAMA Surgery.2023; 158(8): 875. CrossRef
Bilaterally parallel elliptic flap versus Karydakis flap in primary pilonidal sinus disease: a randomized controlled trial
Umut Fırat Turan, Serdar Coban, Tezcan Akin, Huseyin Berkem, Bulent Cavit Yuksel, Sadettin Er
International Journal of Colorectal Disease.2023;[Epub] CrossRef
Evaluation of single center clinical experience in patients undergoing modified Limberg flap technique in pilonidal sinus disease
Burak UÇANER, Şebnem ÇİMEN, Mehmet Zeki BULDANLI
Journal of Medicine and Palliative Care.2023; 4(6): 694. CrossRef
Comparative Study on Short-Term Outcome in Patients Undergoing Pilonidal Sinus Surgery in Tertiary Care
Dakshay A. Chordia, A. P. Prem, Jameel Akhter, M. Muralidharan, A. Sathishkumar
Indian Journal of Colo-Rectal Surgery.2023; 6(1): 4. CrossRef
Analysis of the Outcomes of a New Method for Plastic Surgery for Postoperative Wound Of Sacrococcygeal Region after Excision of the Pilonidal Cyst: Randomized Trial.
E. N. Shubrov, A. G. Baryshev, K. V. Triandafilov, V. A. Aladina, V. V. Fedyushkin, R. K. Amirova
Kuban Scientific Medical Bulletin.2022; 29(5): 80. CrossRef
Effectiveness and Feasibility of Limberg and Karydakis Flap in Recurrent and Complicated Pilonidal Sinus Disease
Amr Abdel Hameed Elhiny, Doaa Ali Saad, Mohamed Sadek Farahat
Indian Journal of Surgery.2021; 83(1): 55. CrossRef
S3-Leitlinie: Sinus pilonidalis. 2. revidierte Fassung 2020
A. Ommer, I. Iesalnieks, D. Doll
coloproctology.2021; 43(S1): 25. CrossRef
Pilonoidal Sinüs Tedavisinde Modifiye Limberg Flep Uygulaması Sonuçları
Nizamettin KUTLUER, Nurullah AKSOY
Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi.2021; 16(1): 68. CrossRef
Pilonidal Sinus Disease: An Analysis of the Factors Affecting Recurrence
Murat Kanlioz, Uğur Ekici, Faik Tatli, Turgay Karatas
Advances in Skin & Wound Care.2021; 34(2): 81. CrossRef
Karydakis procedure versus Limberg flap for treatment of pilonidal sinus: an updated meta-analysis of randomized controlled trials
Sameh Hany Emile, Sualeh Muslim Khan, Samer Hani Barsom, Steven D Wexner
International Journal of Colorectal Disease.2021; 36(7): 1421. CrossRef
Evaluation of comma-shaped incision with a sacral flap in surgical treatment of pilonidal sinus
MinaR.A.R. El Nahal, MohammedY.F. Aly, RagaiS Hanna, GamalA Makhlouf, GamalA Hameed Ahmed
Journal of Current Medical Research and Practice.2020; 5(1): 46. CrossRef
Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis
Siwei Bi, Kaibo Sun, Shanshan Chen, Jun Gu
Scientific Reports.2020;[Epub] CrossRef
An effective minimal invasive method in pilonidal sinus surgery: Sinusotomy
Önder KARABAY
Archives of Clinical and Experimental Medicine.2019; 4(3): 138. CrossRef

Effect of Hyperoxygenation During Surgery on Surgical Site Infection in Colorectal Surgery: Mina Alvandipour, Farzad Mokhtari-Esbuie, Afshin Gholipour Baradari, Abolfazl Firouzian, Mehdi Rezaie; Ann Coloproctol. 2019;35(1):9-14. Published online February 28, 2019; DOI: https://doi.org/10.3393/ac.2018.01.16

7,582 View
134 Download
13 Web of Science
16 Citations

Abstract PDF

Purpose
Despite the use of different surgical methods, surgical site infection is still an important cause of mortality and morbidity in patients and imposes a considerable cost on the healthcare system. Administration of supplemental oxygen during surgery has been reported to reduce surgical site infection (SSI); however, that result is still controversial. This study was performed to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of wound infection.
Methods
This study was a prospective double-blind case-control study. The main aim of the study was to evaluate the effect of hyperoxygenation during colorectal surgery on the incidence of SSI. Also, secondary outcomes, such as atelectasis, pneumonia, respiratory failure, length of hospital stay, and required hospitalization in the intensive care unit were evaluated.
Results
SSI was recorded in 2 patients (2 of 40, 5%) in the hyperoxygenation group (FiO2 80%) and 6 patients (6 of 40, 15%) in the control group (FiO2 30%) (P < 0.05). Time of hospitalization was 6 ± 6.4 days in the hyperoxygenation group and 9.2 ± 2.4 days in the control group (P < 0.05).
Conclusion
This study showed a positive effect of hyperoxygenation in reducing SSI in colorectal surgery, especially surgery in an emergency setting. When the low risk, low cost, and effectiveness of this method in patients undergoing a laparotomy are considered, it is recommended for all patients undergoing colorectal surgery.

Citations

Citations to this article as recorded by

Effects of high vs. low perioperative inspired oxygen fraction on length of hospital stay and postoperative complications: a systematic review, meta-analysis, and trial sequential analysis
Mimi WU, Lanlan CHANG, Leying SUN, Zhao DAI, Jinhua BO, Xin XU
Minerva Anestesiologica.2025;[Epub] CrossRef
Perioperative oxygen therapy: an overview of systematic reviews and meta-analyses
Adel Elfeky, Yen-Fu Chen, Amy Grove, Keith Couper, Rachel Court, Sara Tomassini, Anna Wilson, Amy Hooper, Alexandra Buckle, Sharvari Vadeyar, Marion Thompson, Olalekan Uthman, Joyce Yeung
British Journal of Anaesthesia.2025; 135(5): 1456. CrossRef
Perioperative Low Fraction of Inspired Oxygen Reduces Postoperative Atelectasis in Abdominal Surgery Patients: A Systematic Review and Meta-Analysis
勇肖
Advances in Clinical Medicine.2025; 15(08): 1883. CrossRef
Perioperative oxygen therapy in patients undergoing surgical procedures: an overview of systematic reviews and meta-analyses
Adel Elfeky, Yen-Fu Chen, Amy Grove, Keith Couper, Rachel Court, Sara Tomassini, Anna Wilson, Amy Hooper, Alexandra Buckle, Sharvari Vadeyar, Marion Thompson, Olalekan Uthman, Joyce Yeung
Health Technology Assessment.2025; : 1. CrossRef
A low perioperative fraction of inspired oxygen reduces the incidence of postoperative atelectasis in patients undergoing abdominal surgery under general anesthesia: A systematic review and meta-analysis
Zuofeng Wang, Min Jiang, Cuiyuan Huang, Hengjing Zou, Yu Wen, Shan Ou
Journal of International Medical Research.2025;[Epub] CrossRef
Risk Factors for Postoperative Infections Following Appendectomy of Complicated Appendicitis: A Meta-analysis and Retrospective Single-institutional Study
Katherine Cironi, Aaron L. Albuck, Bryant McLafferty, Alison K. Mortemore, Christina McCarthy, Mohammad Hussein, Peter P. Issa, Tyler Metz, Marcela Herrera, Eman Toraih, Sharven Taghavi, Emad Kandil, Jacquelyn Turner
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2024; 34(1): 20. CrossRef
Vermeidung postoperativer Wundinfektionen
Pernilla V. Conrad, Thomas Becker, Julius Pochhammer, Axel Kramer
Im OP.2024; 14(05): 236. CrossRef
The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for Preventing Surgical Site Infection
Benjamin D. Shogan, Jon D. Vogel, Bradley R. Davis, Deborah S. Keller, Jennifer M. Ayscue, Lindsey E. Goldstein, Daniel L. Feingold, Amy L. Lightner, Ian M. Paquette
Diseases of the Colon & Rectum.2024; 67(11): 1368. CrossRef
Updated meta-analysis on intraoperative inspired fraction of oxygen and the risk of surgical site infection in adults undergoing general and regional anesthesia
Yoann El Maleh, Charlotte Fasquel, Christophe Quesnel, Marc Garnier
Scientific Reports.2023;[Epub] CrossRef
Vermeidung postoperativer Wundinfektionen
Pernilla V. Stropnicky, Thomas Becker, Julius Pochhammer, Axel Kramer
Allgemein- und Viszeralchirurgie up2date.2023; 17(04): 301. CrossRef
The effect of high perioperative inspiratory oxygen fraction for abdominal surgery on surgical site infection: a systematic review and meta-analysis
Jae Hee Kuh, Woo-Seok Jung, Leerang Lim, Hae Kyung Yoo, Jae-Woo Ju, Ho-Jin Lee, Won Ho Kim
Scientific Reports.2023;[Epub] CrossRef
Differences in clinical and cost-effectiveness between cefmetazole and flomoxef for the prevention of surgical site infection in elective colorectal surgery: A single-center, retrospective cohort study
Yuya Urano, Shunichi Saito, Takafumi Machimoto, Yukio Tsugihashi, Hiroyasu Ishimaru, Hiroyuki Akebo, Ryuichi Sada
Journal of Infection and Chemotherapy.2022; 28(4): 510. CrossRef
Does Higher Intraoperative Fraction of Inspired Oxygen Improve Complication Rates Following Implant-Based Breast Reconstruction?
Mallory A Rowley, Kometh Thawanyarat, Jennifer K Shah, Lawrence Cai, Elizabeth Turner, Oscar J Manrique, Brian Thornton, Rahim Nazerali
Aesthetic Surgery Journal Open Forum.2022;[Epub] CrossRef
Fraction of inspired oxygen during general anesthesia for non‐cardiac surgery: Systematic review and meta‐analysis
Maria Høybye, Peter C. Lind, Mathias J. Holmberg, Maria Bolther, Marie K. Jessen, Mikael F. Vallentin, Frederik B. Hansen, Johanne M. Holst, Andreas Magnussen, Niklas S. Hansen, Cecilie M. Johannsen, Johannes Enevoldsen, Thomas H. Jensen, Lara L. Roessler
Acta Anaesthesiologica Scandinavica.2022; 66(8): 923. CrossRef
Intraoperative respiratory and hemodynamic strategies for reducing nausea, vomiting, and pain after surgery: Systematic review and meta‐analysis
Johanne M. Holst, Maibritt P. Klitholm, Jeppe Henriksen, Mikael F. Vallentin, Marie K. Jessen, Maria Bolther, Mathias J. Holmberg, Maria Høybye, Peter Carøe Lind, Asger Granfeldt, Lars W. Andersen
Acta Anaesthesiologica Scandinavica.2022; 66(9): 1051. CrossRef
Systematic Review and Meta-Analysis of Wound Bundles in Emergency Midline Laparotomy Identifies That It Is Time for Improvement
Gearóid Mc Geehan, Itoro M. Edelduok, Magda Bucholc, Angus Watson, Zsolt Bodnar, Alison Johnston, Michael Sugrue
Life.2021; 11(2): 138. CrossRef

Purse-String Versus Linear Conventional Skin Wound Closure of an Ileostomy: A Randomized Clinical Trial: Mina Alvandipour, Babak Gharedaghi, Hamed Khodabakhsh, Mohammad Yasin Karami; Ann Coloproctol. 2016;32(4):144-149. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.144

8,316 View
89 Download
21 Web of Science
25 Citations

Abstract PDF

Purpose

Infection is one of the most frequent complications that can occur after ileostomy closure. The incidence of wound infection depends on the skin closure technique, but there is no agreement on the perfect closure method for an ileostomy wound. The aim of this study was to evaluate the incidence of infection, the patient's approval, and the patient's pain between purse-string closure (PSC) and the usual linear closure (LC) of a stoma wound.

Methods

This randomized clinical trial enrolled 66 patients who underwent a stoma closure from February 2015 to May 2015 in Sari Emam Khomeini Hospital. Patients were divided into 2 groups according to the stoma closing method: the PSC group (n = 34) and the LC group (n = 32). The incidences of infection for the 2 groups were compared, and the patients' satisfaction and pain with the stoma were determined by using a questionnaire.

Results

Infection occurred in 1 of 34 PSC patients (2.9%) and in 7 of 32 LC patients (21.8%), and this difference was statistically significant (P = 0.021). Patients in the PSC group were more satisfied with the resulting wound scar and its cosmetic appearance at one month and three months after surgery (P = 0.043).

Conclusion

After stoma closure, PSC was associated with a significantly lower incidence of wound infection and greater patient satisfaction compared to LC. However, the healing period for patients who underwent PSC was longer than it was for those who underwent LC.

Citations

Citations to this article as recorded by

Gunsight closure versus conventional techniques for reversal of protective stoma after rectal cancer surgery: a propensity score matching study
Senbin Lin, Misha Mao, Rui Chen, Linnan Guo, Mengya Zhou, Jianhui Chen
International Journal of Colorectal Disease.2026;[Epub] CrossRef
Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal
Brian Williams, Aubrey Swinford, Jordan Martucci, Johnny Wang, Jordan R. Wlodarczyk, Abhinav Gupta, Kyle G. Cologne, Sarah E. Koller, Christine Hsieh, Marjun P. Duldulao, Joongho Shin
Surgery Open Science.2025; 23: 69. CrossRef
Usefulness of a negative pressure wound therapy system for stoma closure
Chisato Shirakawa, Yuzuru Sakamoto, Shinya Ueki, Hiroki Shomura, Keizo Kazui, Akinobu Taketomi
Journal of Wound Care.2025; 34(2): 106. CrossRef
Circular (purse-string) vs primary skin closure following stoma closure: an up-to-date systematic review and meta-analysis
F. Menegon Tasselli, F. Pata, G. Fuschillo, G. Signoriello, A. Bondurri, G. Sciaudone, F. Selvaggi, G. Pellino
Techniques in Coloproctology.2025;[Epub] CrossRef
Primary closure of ileostomy site after irrigation with betaine–polyhexanide: a case series
Henry Krasner, Abigail W Cheng, Lance Horner, Ovunc Bardakcioglu
Journal of Surgical Case Reports.2025;[Epub] CrossRef
Comparison of purse-string technique versus linear suture for skin closure after stoma reversal: a meta-analysis of high-quality studies
Filippo Carannante, Guglielmo Niccolò Piozzi, Gianluca Costa, Valentina Miacci, Gianfranco Bianco, Vincenzo Schiavone, Jim S. Khan, Marco Caricato, Gabriella Teresa Capolupo
Annals of Coloproctology.2025; 41(6): 491. CrossRef
The Outcome of Purse-string Versus Conventional Wound Closure Techniques in Patients Undergoing Stoma Reversal: A Randomized Controlled Trial
Assad Ameer, Muhammad Bilal Mirza, Nabila Talat
Journal of Pediatric Surgery.2024; 59(6): 1186. CrossRef
Purse-string skin closure versus linear skin closure in people undergoing stoma reversal
Shahab Hajibandeh, Shahin Hajibandeh, Andrew Maw
Cochrane Database of Systematic Reviews.2024;[Epub] CrossRef
Comparison of purse-string technique vs linear suture for skin closure after ileostomy reversal. A randomized controlled trial
Filippo Carannante, Gianluca Costa, Valentina Miacci, Gianfranco Bianco, Gianluca Masciana, Sara Lauricella, Marco Caricato, Gabriella Teresa Capolupo
Langenbeck's Archives of Surgery.2024;[Epub] CrossRef
Purse-string versus linear closure of the skin wound following stoma reversal: A meta-analysis with RCT and systematic review
Jinlong Luo, Dan Liu, Junmei Wu, Huaiwu Jiang, Jin Chen, Hua Yang, Lie Yang
Medicine.2024; 103(35): e39477. CrossRef
Short-term outcomes following purse-string versus conventional closure of ileostomy wounds in Chinese colorectal cancer patients — a single center retrospective study
Yu-Rong Jiao, Xin-Bin Zhou, Yao Ye, Qian Xiao, Xiang-Xing Kong, Ke-Feng Ding, Jun Li
Holistic Integrative Oncology.2023;[Epub] CrossRef
Results of application of the technique of the extraperitoneal closure of loop intestinal stoma
N. A. Maistrenko, A. A. Sazonov, P. N. Romashchenko, M. V. Zotov
Grekov's Bulletin of Surgery.2023; 181(6): 64. CrossRef
Wound Infection After Ileostomy Closure: An Interim Analysis of a Prospective Randomized Study Comparing Primary Versus Circumferential Subcuticular Closure Techniques
Sumesh Kaistha, Rajesh Panwar, Sujoy Pal, Nihar Ranjan Dash, Peush Sahni, Tushar Kanti Chattopadhyay
Surgical Infections.2023; 24(9): 797. CrossRef
Purse-string skin closure versus linear skin closure in people undergoing stoma reversal
Shahab Hajibandeh, Shahin Hajibandeh, Andrew Maw
Cochrane Database of Systematic Reviews.2022;[Epub] CrossRef
COMPARISON BETWEEN OSTOMY CLOSURE USING PURSE-STRING VERSUS LINEAR IN CHILDREN
Shahnam Askarpour, Mehran Peyvasteh, Farbod Farhadi, Hazhir Javaherizadeh
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2022;[Epub] CrossRef
Negative-pressure wound therapy after stoma reversal in colorectal surgery: a randomized controlled trial
Francesco M Carrano, Annalisa Maroli, Michele Carvello, Caterina Foppa, Matteo Sacchi, Jacopo Crippa, Giuseppe Clerico, Francesca De Lucia, Elisabetta Coppola, Nadav Ben David, Antonino Spinelli
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Nilotpal Behuria, Jayant Kumar Banerjee, Sita Ram Ghosh, Shrirang Vasant Kulkarni, Ramanathan Saranga Bharathi
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Gunsight Procedure Versus the Purse-String Procedure for Closing Wounds After Stoma Reversal: A Multicenter Prospective Randomized Trial
Jia Gang Han, Hong Wei Yao, Jian Ping Zhou, Hong Zhang, Gui Ying Wang, Zhan Long Shen, Jian Feng Gong, Zhen Jun Wang
Diseases of the Colon & Rectum.2020; 63(10): 1411. CrossRef
Quality of life following ostomy reversal with purse-string vs linear skin closure: a systematic review
Emanuele Rausa, M. E. Kelly, G. Sgroi, V. Lazzari, A. Aiolfi, F. Cavalcoli, G. Bonitta, L. Bonavina
International Journal of Colorectal Disease.2019; 34(2): 209. CrossRef
Purse-string vs. linear skin closure at loop ileostomy reversal: a systematic review and meta-analysis
M. Gachabayov, H. Lee, A. Chudner, A. Dyatlov, N. Zhang, R. Bergamaschi
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Italian guidelines for the surgical management of enteral stomas in adults
F. Ferrara, D. Parini, A. Bondurri, M. Veltri, M. Barbierato, F. Pata, F. Cattaneo, A. Tafuri, C. Forni, G. Roveron, G. Rizzo
Techniques in Coloproctology.2019; 23(11): 1037. CrossRef
Purse-string closure versus conventional primary closure of wound following stoma reversal: Meta-analysis of randomized controlled trials
Fabio Rondelli, Laura Franco, Ruben Carlo Balzarotti Canger, Graziano Ceccarelli, Cecilia Becattini, Walter Bugiantella
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Purse-string skin closure versus linear skin closure techniques in stoma closure: a comprehensive meta-analysis with trial sequential analysis of randomised trials
Shahab Hajibandeh, Shahin Hajibandeh, Andrew Kennedy-Dalby, Sheik Rehman, Reza Arsalani Zadeh
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LOOP ILEOSTOMY CLOSURE (review)
I. S. Lantsov, A. I. Moskalev, O. I. Sushkov
Koloproktologia.2018; (2): 102. CrossRef
The effect of purse-string approximation versus linear approximation of ileostomy reversal wounds on morbidity rates and patient satisfaction: the 'STOMA' trial
D. P. O’Leary, M. Carter, D. Wijewardene, M. Burton, D. Waldron, E. Condon, J. C. Coffey, C. Peirce
Techniques in Coloproctology.2017; 21(11): 863. CrossRef

Case Report

Incidentally Solitary, Synchronous, Metastatic Left Adrenal Mass From Colon Cancer: Mina Alvandipour, Mohammad Yasin Karami, Mehdi Khalvati, Hamed Khodabakhsh; Ann Coloproctol. 2016;32(2):79-82. Published online April 30, 2016; DOI: https://doi.org/10.3393/ac.2016.32.2.79

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50 Download
2 Web of Science
4 Citations

Abstract PDF

The authors report the case of a 63-year-old man who underwent an open adrenalectomy for a synchronous, malignant, metastatic left adrenal tumor and a total colectomy for T3N0M1 (stage 4) primary, malignant colon cancer. Two polypoid lesions, one measuring 40 mm × 30 mm × 30 mm and the other measuring 20 mm × 10 mm × 10 mm, were found in the ascending colon and rectosigmoid (RS) junction, respectively, and a synchronous, malignant, left adrenal gland lesion measuring 70 mm × 50 mm × 30 mm was incidentally found on abdominal computed tomography scan. Histological examination revealed a metastatic, necrotic adenocarcinoma of the left adrenal mass, an adenocarcinoma of the cecal mass, and an adenomatous polyp (tubulovillous type) of the smallest polypoid lesion in RS junction that had invaded deeply into the submucosal layer. The patient recovered uneventfully, and his condition is now stable, with no evidence of local recurrence or metastatic disease, 2 years after the surgery. To the best of our knowledge, only 25 cases of an adrenalectomy for treating metastatic adrenal gland tumors have been reported to date; physicians should be aware of the possibility of this event.

Citations

Citations to this article as recorded by

Surgical resection of adrenal metastasis from colorectal cancers: a systematic review
Thi Ai Van Terresa Nguyen, Sze Ling Wong, Zi Qin Ng
ANZ Journal of Surgery.2024; 94(4): 545. CrossRef
An Adrenal Incidentaloma After Colon/Rectal Cancer Surgery: A Primer Lesion or Metastasis—A Case Report
Adalet Daş, İbrahim Ethem Cakcak, Derya Karabulut, Dicle Tamer Türk
SN Comprehensive Clinical Medicine.2024;[Epub] CrossRef
Solitary metastasis of colorectal cancer in the left adrenal gland 4 years after surgery on the primary tumor. Case report
Marina D. Budurova, Vladimir S. Trifanov, Vladimir V. Kopylov, Olga S. Kuznetsova, Maria A. Chernichenko, Sergey I. Poluektov
Journal of Modern Oncology.2023; 25(3): 401. CrossRef
Synchronous contralateral adrenal metastasis of colorectal cancer: case report
Micaela Raices, Luis Boccalatte, Gustavo Rossi, Fernando Wright
Journal of Surgical Case Reports.2017;[Epub] CrossRef

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