Current trends in the management of pilonidal sinus disease and its outcome in a periphery hospital

Alrashid, Fauwaz Fahad; Idris, Saadeldin Ahmed; Qureshi, Abdul Ghani

doi:10.3934/medsci.2021008

Cited by 2 publications

(6 citation statements)

References 20 publications

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“…Six (3.7%) patients were treated with the V-Y flap, and five (3%) patients were treated with marsupialization. This is similar to the treatment options utilized by Alrashid et al .17 for the treatment of PSD. In their study, Limberg flap was utilized in 44.2%while they utilized primary closure in 19.6% of their patients 17 .…”

Section: Discussionsupporting

confidence: 77%

“…This is similar to the treatment options utilized by Alrashid et al .17 for the treatment of PSD. In their study, Limberg flap was utilized in 44.2%while they utilized primary closure in 19.6% of their patients 17 . Onder et al 7 utilized Limberg flap 73.6% while primary closure was done for only 26.4%.…”

Section: Discussionsupporting

confidence: 77%

“… 20 in their study was 12.8%, which is similar to our finding. However, our findings indicate that the infection rate is higher than the rates reported by Onder et al 7 , Saydam et al 19 , Alrashid et al 17 , and Sakr et al 16 all of which reported infection rates of 7.6, 6.89, 4.4, and 4.9%, respectively. Our study population included only females with PSD.…”

Section: Discussioncontrasting

confidence: 77%

“…Post-treatment recurrences in our study are 8.5%, and they occur within 2–7 years in our study population. The recurrence of 7.1% was reported by Alrashid et al 17 among patients treated for PSD. This is similar to our findings.…”

Section: Discussionmentioning

confidence: 81%

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Evaluation of the coexistence of pilonidal sinus disease and hirsutism in female patients: a retrospective cross-sectional study

Akbulut

Caliskan

Yilmaz

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: This study aimed to investigate the coexistence of pilonidal sinus disease (PSD) and hirsutism in female patients. Materials and methods: The demographic and clinical data of 164 female patients who underwent surgery for PSD between January 2007 and May 2014 were evaluated for this retrospective cross-sectional study. Data collected for this study were age, BMI, the modified Ferriman and Gallwey scale (mFGS) for hirsutism, main symptoms, type of surgery, early postoperative complications (wound infection, wound dehiscence), recurrence, and follow-up. The independent variables are hirsutism (mFGS scores) and BMI. Dependent variables are early postoperative complications and recurrence. Results: The median age was 20 years (95% CI for median: 19–21 years). According to the BMI, 45.7, 50.6, and 3.7% of patients were considered normal, overweight, and obese, respectively. According to the mFGS, 11, 9.8, 52.4, and 26.8% of patients were considered to have none, mild, moderate, or severe hirsutism, respectively. Fourteen (8.5%) patients had developed recurrence. Recurrence developed in six patients with primary closure, five patients with Limberg flaps, two patients with Karydakis, and one with marsupialization. There was no statistical difference between recurrent and nonrecurrent patients in terms of BMI (P=0.054) and mFGS (P=0.921). On the other hand, BMI was statistically significantly higher in those who developed early postoperative complications than in those who did not (P<0.001). Conclusion: PSD is no longer a ‘men’s only disease’. BMI increases the risk of early postoperative complications, but this association was not found between BMI and recurrence. Prospective multicenter studies are needed on the relationship between PSD and hirsutism.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 77%

Section: Discussioncontrasting

confidence: 77%

Section: Discussionmentioning

confidence: 81%

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Evaluation of the coexistence of pilonidal sinus disease and hirsutism in female patients: a retrospective cross-sectional study

Akbulut

Caliskan

Yilmaz

et al. 2023

Annals of Medicine &Amp; Surgery

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“…Pilonidal sinus (PS) is a chronic disease mostly affecting natal cleft, occurring more commonly in hairy obese males with an incidence of 26/100,000 population worldwide. 1 The process involves collection of broken hair deposited in the inter-gluteal region, causing inflammation and abscess formation, and ultimately leading to single or multiple sinuses. 2 It is associated with sedentary occupation, local irritation with prolonged sitting, hirsutism, and obesity, and affects younger age groups.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic pilonidal sinus treatment (EPSiT) for sacrococcygeal pilonidal sinus disease: a prospective long-term study

Muhammad Amir,

Farooqui,

Latif

et al. 2024

J Pak Med Assoc

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Objective: To assess short-term and long-term outcomes of endoscopic pilonidal sinus treatment for pilonidal sinus disease. Method: The prospective study was conducted at Shifa International Hospital, Islamabad, Pakistan, from July 2015 to July 2021, and comprised all pilonidal sinus cases undergoing minimal invasive endoscopic pilonidal sinus treatment who were treated by a single surgical team. The primary outcomes were duration of healing, post-operative morbidities, persistence of discharge and recurrence at 1-7 years. The secondary outcomes were operative time, return to work, cosmetic results and patient satisfaction. The patients were observed for wound healing and discharge on follow-up in the out-patient department at 1, 3, 6 and 24 weeks. They were further followed up every year through telephonic survey for persistence or recurrence of symptoms. Patient satisfaction was assessed using the 36-item Short Form Survey questionnaire filled at admission and then at 6 weeks post-surgery. Data was analysed using SPSS 23. Results: Of the 67 patients, 55(82%) were males and 12(18%) were females. The overall mean age was 25.69±8.305 years. There were 13(19.4%) patients with a history of recurrent disease and previous procedures for pilonidal sinus, while 54(80.6%) had no previous surgery. The median operative time was 35 minutes (interquartile range: 20-45 minutes). Complete wound healing was achieved in 60(89.6%) patients, while recurrence was seen in 7(10.4%). The median time off work was 2.5 days (interquartile range: 1-3 days). Patient satisfaction with the procedure was significantly high (p<0.05). Conclusion: Endoscopic pilonidal sinus treatment appeared to be a good minimally invasive surgical technique for the treatment of pilonidal sinus disease in terms of both short-term and long-term outcomes. Key Words: Pilonidal sinus disease, Minimally invasive surgery, Endoscopic pilonidal sinus treatment, EPSiT, Recurrent pilonidal sinus.

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Current trends in the management of pilonidal sinus disease and its outcome in a periphery hospital

Cited by 2 publications

References 20 publications

Evaluation of the coexistence of pilonidal sinus disease and hirsutism in female patients: a retrospective cross-sectional study

Evaluation of the coexistence of pilonidal sinus disease and hirsutism in female patients: a retrospective cross-sectional study

Endoscopic pilonidal sinus treatment (EPSiT) for sacrococcygeal pilonidal sinus disease: a prospective long-term study

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