A comparative analysis of four different surgical methods for treatment of sacrococcygeal pilonidal sinus

Ekici, Uğur; Kanlıöz, Murat; Ferhatoğlu, Murat Ferhat; Kartal, Abdülcabbar

doi:10.1016/j.asjsur.2018.12.011

Cited by 25 publications

(32 citation statements)

References 26 publications

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“…When evaluated in terms of BMI, no statistically significant difference was found between the treatment methods in the study. In a study in which four surgical techniques were compared, no difference was found in terms of BMI (12). 70.1% of the patients in our study were smoking.…”

Section: Discussioncontrasting

confidence: 54%

Comparison of Surgical Methods in Sacrococcygeal Pilonidal Sinus Treatment

Çantay

Daşdemir²

2021

Journal of Basic and Clinical Health Sciences

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Purpose: Although many conservative and surgical methods have been described in the treatment of sacrococcygeal pilonidal sinus, which is a common disease of the sacrococcygeal region, affecting especially young men, recurrence rates are still high and the search for ideal treatment continues. The aim of the study is to compare the primary closure, Limberg and Karydakis flap methods for pilonidal sinus surgery in terms of wound healing, complications and recurrence and to present the results accordingly. Methods:The data of 184 patients who were operated between 2018 and 2020 were retrospectively evaluated. Patient data on age, gender, comorbidity, Body Mass Index (BMI), smoking, recurrence, history of preoperative abscess drainage, surgical methods, length of hospital stay, postoperative drain, recurrence and complications were evaluated. Results:No statistically significant difference was found between the treatment methods in terms of age, gender, Body Mass Index, and smoking (p>0.005). A statistically significant difference was found between the treatment methods in terms of reoperation for recurrence and preoperative abscess drainage (p = 0.012) (p = 0.044). However, a significant difference was found between the treatment methods in terms of length of hospital stay, presence of drainage, recurrence and complications (p <0.005). Conclusion:Although primary suturation has a short hospital stay, the rate of recurrence and complications is higher than the Limberg and Karydakis flap methods. In this context, it can be maintained that the Limberg and Karydakis flap methods are safer methods than the primary closure method.

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Section: Discussioncontrasting

confidence: 54%

Comparison of Surgical Methods in Sacrococcygeal Pilonidal Sinus Treatment

Çantay

Daşdemir²

2021

Journal of Basic and Clinical Health Sciences

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“…Multiple studies reported seroma fluid as a postoperative complication: 15.1%, 8.6%, and 5.3%. 25 – 27 However, none of these studies linked seroma to disease recurrence. On the other hand, wound infection and dehiscence had no effect on disease recurrence in our study but they were risk factors for recurrence in another study.…”

Section: Discussionmentioning

confidence: 99%

Pilonidal sinus disease recurrence at a tertiary care center in Riyadh

et al. 2021

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BACKGROUND: Pilonidal sinus disease (PSD) is a chronic inflammatory disease of the sacrococcygeal area. Pilonidal sinus recurrence is a matter of concern to both patients and healthcare providers. OBJECTIVES: Estimate the rate of PSD recurrence in our center and identify any risk factors contributing to disease recurrence. DESIGN: Retrospective. SETTING: Tertiary care center in Riyadh. PATIENTS AND METHODS: All patients who underwent surgery for primary or recurrent pilonidal sinus between 1 January 2016 to 30 June 2019 were included to allow for at least 1-year of follow-up at the time of data collection. MAIN OUTCOME MEASURE: Recurrence rate of PSD and risk factors for recurrence. SAMPLE SIZE AND CHARACTERISTICS: 369 patients: 329 males (89.2%) and 40 (10.8%) females. Median (interquartile range) age was 21 (18-26) years. RESULTS: Of the 369 included patients, recurrence was identified in 84 (22.8%) cases [95% confidence interval (CI) 18.6-27.4], and the mean timing of recurrence was 1.8 (1.6) years after the primary surgery. In a multivariate logistic regression analysis, increased age and post-operative seroma fluid discharge were independent risk factors for recurrence. In contrast, preoperative antibiotic prophylaxis and postoperative hair removal were effective in reducing recurrence. Type of surgery closure had no effect on recurrence, yet primary closure was associated with early onset of recurrence compared to secondary closure ( P =.02). CONCLUSION: Our findings on the factors associated with recurrence of PSD are consistent with many reports in the literature. Reported prevalence estimates vary widely. LIMITATION: Single center, small sample size, retrospective. CONFLICT OF INTEREST: None.

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“…Treatment of pilonidal sinus: Regardless presentation, the ideal treatment for patients who suffered from the disease should allow a cure with a rapid recovery period allowing return to normal daily activities with a low level of associated morbidity 5 .Although various surgical methods have been described for the treatment of patients with pilonidal sinus, to date; the ideal treatment remains debatable in a way that currently there is no widely available accepted method that decreases complications and recurrence rates, and provides cosmetically acceptable outcomes with short recovery period. There is no clear consensus as to which treatment approach yields the best result in patients with chronic non-infectious pilonidal sinus 16 .…”

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confidence: 99%

Comparative Study Between Karydakis Lateral Approach and Excision of Pilonidal Sinus With Suturing Skin to Pre-Sacral Fascia

Ibrahim

El-Sayed

2020

Ain Shams Medical Journal

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Background: A pilonidal cystectomy is surgery to completely remove the cyst, along with the pilonidal sinus tracts. While this procedure is more complex than an incision and drainage, it's also more likely to be successful. Aim of the work: evaluated the Karidakis lateral approach; and excision of pilonidal sinus with suturing skin edge to pre-sacral fascia Patient and methods: This study was carried out on 40 patients with pilonidal sinus admitted to Kobry El-Kobba Military Campus during the period of (2017-2019) the patients were divided into two groups: GI included 20 patients treated by surgical excision of the sinus through lateral approach of Karydakis, and GII included 20 patients treated by surgical excision of the sinus with suturing of skin edge to pre-sacral fascia. All patients were male military patients with age ranged between (22-45) years with mean of 30 years. Results: The results compared both techniques to patient's convenience, infection rate, hospital stay, recurrence rate, operative time, healing time, and histopathological outcome. Conclusion: The choice of a particular surgical approach is dependent on the surgeon's familiarity with the procedure and perceived results in terms of low recurrence of the sinus and of quick healing of the resulting cavity or surgical wound

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A comparative analysis of four different surgical methods for treatment of sacrococcygeal pilonidal sinus

Cited by 25 publications

References 26 publications

Comparison of Surgical Methods in Sacrococcygeal Pilonidal Sinus Treatment

Comparison of Surgical Methods in Sacrococcygeal Pilonidal Sinus Treatment

Pilonidal sinus disease recurrence at a tertiary care center in Riyadh

Comparative Study Between Karydakis Lateral Approach and Excision of Pilonidal Sinus With Suturing Skin to Pre-Sacral Fascia

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