Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus

OBJECTİVE:Pilonidal sinus is characterized by high operative morbidity mainly due to wound problems. We aimed to compare the quality of health, comfort and psychological status in patients who underwent surgery for pilonidal sinus.METHODS:A total of 205 pilonidal sinus patients operated on with eith...

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Main Authors: Kazim Duman, Yavuz Ozdemir, Ergun Yucel, Mehmet L. Akin
Format: Article
Language:English
Published: Elsevier España 2014-06-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322014000600384&lng=en&tlng=en
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author Kazim Duman
Yavuz Ozdemir
Ergun Yucel
Mehmet L. Akin
author_facet Kazim Duman
Yavuz Ozdemir
Ergun Yucel
Mehmet L. Akin
author_sort Kazim Duman
collection DOAJ
description OBJECTİVE:Pilonidal sinus is characterized by high operative morbidity mainly due to wound problems. We aimed to compare the quality of health, comfort and psychological status in patients who underwent surgery for pilonidal sinus.METHODS:A total of 205 pilonidal sinus patients operated on with either primary closure or Limberg flap reconstruction were compared in terms of depression, anxiety, and long-term quality of health by using Short Form 36, Beck Depression Inventory, and Beck Anxiety Inventory scales.RESULTS:There were 107 patients in the primary closure group with a mean follow-up of 29.6±7.7 months and 98 patients in the Limberg flap group with a mean follow-up of 34.1±7.3 months. In the SF-36 analysis, the mental health and bodily pain scores (59±6 and 56±11 in the primary closure group and 62±8 and 61±10 in the Limberg flap group) were significantly higher in the Limberg flap group (p= 0.014 and p= 0.002, respectively). The mean Beck Depression Inventory (19±6.13 vs. 16±4.90 p<0.001) and Beck Anxiety Inventory (19±6.27 vs. 16±4.90 p<0.001) scores were lower in the Limberg flap group.CONCLUSION:Limberg flap reconstruction produced better quality of health scores according to the SF 36, especially in terms of mental health and bodily pain. There was a higher tendency towards anxiety and depression in the primary closure group.
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spelling doaj.art-27171136cdfe41daa3421598acf110a62022-12-22T02:27:15ZengElsevier EspañaClinics1980-53222014-06-0169638438710.6061/clinics/2014(06)03S1807-59322014000600384Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinusKazim DumanYavuz OzdemirErgun YucelMehmet L. AkinOBJECTİVE:Pilonidal sinus is characterized by high operative morbidity mainly due to wound problems. We aimed to compare the quality of health, comfort and psychological status in patients who underwent surgery for pilonidal sinus.METHODS:A total of 205 pilonidal sinus patients operated on with either primary closure or Limberg flap reconstruction were compared in terms of depression, anxiety, and long-term quality of health by using Short Form 36, Beck Depression Inventory, and Beck Anxiety Inventory scales.RESULTS:There were 107 patients in the primary closure group with a mean follow-up of 29.6±7.7 months and 98 patients in the Limberg flap group with a mean follow-up of 34.1±7.3 months. In the SF-36 analysis, the mental health and bodily pain scores (59±6 and 56±11 in the primary closure group and 62±8 and 61±10 in the Limberg flap group) were significantly higher in the Limberg flap group (p= 0.014 and p= 0.002, respectively). The mean Beck Depression Inventory (19±6.13 vs. 16±4.90 p<0.001) and Beck Anxiety Inventory (19±6.27 vs. 16±4.90 p<0.001) scores were lower in the Limberg flap group.CONCLUSION:Limberg flap reconstruction produced better quality of health scores according to the SF 36, especially in terms of mental health and bodily pain. There was a higher tendency towards anxiety and depression in the primary closure group.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322014000600384&lng=en&tlng=enPilonidal SinusPrimary ClosureLimberg FlapQuality Of HealthDepressionAnxiety
spellingShingle Kazim Duman
Yavuz Ozdemir
Ergun Yucel
Mehmet L. Akin
Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus
Clinics
Pilonidal Sinus
Primary Closure
Limberg Flap
Quality Of Health
Depression
Anxiety
title Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus
title_full Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus
title_fullStr Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus
title_full_unstemmed Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus
title_short Comparison of depression, anxiety and long-term quality of health in patients with a history of either primary closure or Limberg flap reconstruction for pilonidal sinus
title_sort comparison of depression anxiety and long term quality of health in patients with a history of either primary closure or limberg flap reconstruction for pilonidal sinus
topic Pilonidal Sinus
Primary Closure
Limberg Flap
Quality Of Health
Depression
Anxiety
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322014000600384&lng=en&tlng=en
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