Aim: Pilonidal disease is a chronic inflammatory process. From time to time poor cosmetic results can be obtained after surgery. In this study, it was aimed to investigate the effects of cosmetic results and the satisfaction level of the cases in patients who underwent surgery with different surgical techniques due to pilonidal disease. Material and Methods: The information about study was given to cases, which were operated due to pilonidal disease between January 2014 and December 2014 and could be contacted by phone. The questionnaire was applied to 125 cases who agreed to participate in the study. Cases were divided into two groups as primary excision with midline closure applied group and other surgical techniques applied group. The questions about the postoperative results were asked to the cases. Results: There was no statistically significant difference between the two groups in terms of pain duration, painless sitting-walking times, time to return to daily life, complications, reoperation rates and patient satisfaction of surgical scar. It was detected that there was more recurrence in the primary excision group and the results were statistically significant (p = 0.038). In the both groups, it was found that there is no statistically significant difference in the satisfaction questionnaire on surgical scar. (p> 0.05). Conclusions: The surgical scar can cause significant cosmetic problems in surgery treatment of pilonidal disease. Poor cosmetic results on cases may sometimes be more important. The results of this study showed that patients care more about the functional outcomes of treatment than the cosmetic results.

Abstract

Aim: Stroke is basically classified as hemorrhagic and ischemic etiologically. Stroke type can be a factor influencing recovery and evidence is insufficient on this issue. Therefore, the purpose of study is to compare motor and functional recovery in terms of stroke type. Material and Methods: 20 patients with stroke between 30 and 65 years of age participated in the study voluntarily. The volunteers were grouped according to the stroke type as ischemic (n=10) or hemorrhagic (n=10). Disability levels of patients determined using Functional Independence Measure (FIM). The patients were compared with isokinetic knee strength, static-dynamic balance test, and 6-minutes walking test according to stroke type. Results: According to isokinetic strength test results, no statistically significant difference was found between groups in the parameters of hemiplegic side knee extension peak torque, knee flexion peak torque, values obtained in the flexion and extension phases of the average power, total work in the flexion phase and extension phase of the movement and hamstring/quadriceps (H/Q) muscle groups strength ratio (p>0.05). According to the data of balance test and 6-minute walk test, no statistically significant difference was found between groups in the parameters of balance indexes and test completion time and 6 minute-long walk distance (p>0.05). Conclusion: It was concluded that a stroke’s being ischemic or hemorrhagic did not create a difference in the recovery of motor function such as strength, balance, and walking. The fact that there are contradictory results and that there is no consensus shows that more studies are required in literature.