Die Pubertät ist ein wichtiger Faktor bei der Pilonidalsinuserkrankung

Ardelt, Michael; Dennler, Ulf; Fahrner, René; Hallof, G.; Tautenhahn, Hans‐Michael; Dondorf, Felix; Rauchfuß, F.; Settmacher, Utz

doi:10.1007/s00104-017-0463-7

Cited by 22 publications

(6 citation statements)

References 20 publications

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“…Disease most commonly affect 3 rd and 4 th decade of life 11 .from the cited study it is comparable to our study, 38.2% falls between 26-35 years and most commonly affect males (69.1%).but as per study conducted in Germany in adolescent age group (11-16 years of age) female are affected more, thus suggesting sex hormones might have a role in pilonidal sinus disease. 12 Overall this disease is more common in the sacrococcygeal region among white adult men.…”

Section: Age and Gender Distributionsupporting

confidence: 89%

A comparative study on short term outcome of Karydakis versus Limberg procedure for pilonidal sinus

Kanthan

Hariprasad²,

Bhaskaran³

2023

Int J Res Med Sci

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Background: Pilonidal sinus disease is a common chronic disease occurring in the natal cleft of the sacrococcygeal region and is common among young adults. It is characterized by inflammation, abscess and sinus formation. It is accepted that pilonidal sinus results from the penetration of shed hair shafts through the skin. there is no consensus about treatment of pilonidal sinus disease. Some procedures include shaving, phenol application, treatment with crystallised phenol, incision and curettage, unroofing and curettage, excision with primary closure, excision with marsupialization, vey flap reconstruction, Bascom procedure, Limberg flap reconstruction, modified Limberg flap reconstruction, Karydakis flap reconstruction, modified Karydakis flap reconstruction and musculocutaneous flap reconstruction are some of the treatments for pilonidal disease. We compared the short-term outcome of Karydakis procedure and Limberg flap surgery at MMC, Chennai Methods: Prospective study-> period of 12 months from April 2020 to March 2021 was done in our hospital. 110 patients undergoing surgery for pilonidal sinus at MMC Chennai who fulfilled the criteria were included in the study. Patients were divided in two groups of 55 each into KP and LFS. Results: MLF has shorter duration of hospital stay and lesser workdays loss as compared to KP. No significant difference in two procedures in view of wound infection and post op pain. Conclusions: In this study, no significant difference was found between the surgical techniques in terms of post-operative pain and wound infection. MLF procedure achieves shorter return-to-work time when compared to KP.

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Section: Age and Gender Distributionsupporting

confidence: 89%

A comparative study on short term outcome of Karydakis versus Limberg procedure for pilonidal sinus

Kanthan

Hariprasad²,

Bhaskaran³

2023

Int J Res Med Sci

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“…It has been proven that increased wealth is linked to earlier menarche [40], which may be linked to earlier PSD presence [42][43][44]. Nevertheless, in a successful society, wealth should increase and health should improve in both men and women simultaneously, and the incidence of PSD should increase in both sexes in parallel, not distorting the female-male relation.…”

Section: Discussionmentioning

confidence: 99%

Global Gender Differences in Pilonidal Sinus Disease: A Random‐Effects Meta‐Analysis

et al. 2020

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Background Pilonidal sinus disease (PSD) is traditionally associated with young male patients. While PSD is rare in Asia and Africa, lifestyles are changing considerably throughout the so-called developed world. We question that PSD is an overwhelmingly male disease and that the proportion of women suffering from PSD is worldwide evenly distributed in a homogenous matter. Methods We analysed the world literature published between 1833 and 2018, expanding on the database created by Stauffer et al. Following correction for gender bias with elimination of men-only and women-only studies, data were processed using random-effects meta-analysis in the technique of DerSimonian and Laird. Results The share of female pilonidal sinus disease patients analysed from all studies available in the world literature is 21%. There are marked regional differences including South America (39%), North America as well as Australia/ New Zealand (29%) and Asia (7%), which are highly significant. These results stand fast even if analysis without gender bias corrections was applied. Conclusion The share of female patients suffering from PSD is considerable. It is time to think of PSD as a disease of both men and women. Previously unknown, there are significant regional differences worldwide; the reason(s) for the regional differences is still unclear.

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“…Their rates of inpatient episodes began to rise in the age group above 10 years of age, whereas this more pronounced increase in rates of inpatient episodes occurred in the age group of 15 to 19 years in males. This might be an effect of the earlier onset of puberty in females, which has been described to be an important factor in the onset of pilonidal sinus disease, based on the fact that rates of inpatient episodes in girls started to increase in the age group above 10 years, whereas the rates of inpatient episodes in this age group remained relatively low in boys [26]. This may be supported by the ratio of cases between the sexes: There were always more cases per 100,000 males than per Fig.…”

Section: Discussionmentioning

confidence: 99%

Pilonidal sinus disease on the rise: a one-third incidence increase in inpatients in 13 years with substantial regional variation in Germany

Sochaczewski

Gödeke

2021

Int J Colorectal Dis

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Purpose Collective evidence from single-centre studies suggests an increasing incidence of pilonidal sinus disease in the last decades, but population-based data is scarce. Methods We analysed administrative case–based principal diagnoses of pilonidal sinus disease and its surgical therapy between 2005 and 2017 in inpatients. Changes were addressed via linear regression. Results The mean rate of inpatient episodes of pilonidal sinus disease per 100,000 men increased from 43 in 2005 to 56 in 2017. In females, the mean rate of inpatient episodes per 100,000 women rose from 14 in 2005 to 18 in 2017. In the whole population, for every case per 100,000 females, there were 3.1 cases per 100,000 males, but the numbers were highly variable between the age groups. There was considerable regional variation within Germany. Rates of inpatient episodes of pilonidal sinus disease were increasing in almost all age groups and both sexes by almost a third. Surgery was dominated by excision of pilonidal sinus without reconstructive procedures, such as flaps, whose share was around 13% of all procedures, despite recommendations of the national guidelines to prefer flap procedures. Conclusion Rates of inpatient episodes of pilonidal sinus disease in Germany rose across almost all age groups and both sexes with relevant regional variation. The underlying causative factors are unknown. Thus, patient-centred research is necessary to explore them. This should also take cases into account that are solely treated office-based in order to obtain a full-spectrum view of pilonidal sinus disease incidence rates.

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Die Pubertät ist ein wichtiger Faktor bei der Pilonidalsinuserkrankung

Cited by 22 publications

References 20 publications

A comparative study on short term outcome of Karydakis versus Limberg procedure for pilonidal sinus

A comparative study on short term outcome of Karydakis versus Limberg procedure for pilonidal sinus

Global Gender Differences in Pilonidal Sinus Disease: A Random‐Effects Meta‐Analysis

Pilonidal sinus disease on the rise: a one-third incidence increase in inpatients in 13 years with substantial regional variation in Germany

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