Evaluation of the risk factors of pilonidal sinus: A single center experience

Bolandparvaz, Shahram; Dizaj, Parisa Moghadam; Salahi, Roohollah; Paydar, Shahram; Bananzadeh, Mohammad; Abbasi, Hamidreza; Eshraghian, Armaghan

doi:10.4318/tjg.2012.0381

Cited by 55 publications

(41 citation statements)

References 11 publications

(9 reference statements)

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“…The suggested factors include overweight, excess hair in the IGF, stiff hair, male sex, prolonged sitting time, family history of PSD and poor hygiene. [22][23][24][25] In our series we found that, when compared with patients without a lesion in the IGF, patients with HS who had such lesions were more frequently men. A male predisposition was observed when comparing PSD and HS lesions within the group of patients who had an IGF lesion.…”

Section: Discussionsupporting

confidence: 46%

“…In contrast to its relatively high prevalence, the factors associated with the primary occurrence of PSD have been only scarcely explored. The suggested factors include overweight, excess hair in the IGF, stiff hair, male sex, prolonged sitting time, family history of PSD and poor hygiene . In our series we found that, when compared with patients without a lesion in the IGF, patients with HS who had such lesions were more frequently men.…”

Section: Discussionmentioning

confidence: 45%

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Pilonidal sinus disease: an intergluteal localization of hidradenitis suppurativa/acne inversa: a cross‐sectional study among 2465 patients

et al. 2019

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Summary Background Hidradenitis suppurativa (HS), also referred to as acne inversa, is a debilitating skin disease characterized by inflammatory nodules, chronic abscesses and tunnels (fistulae and sinuses). The association with pilonidal sinus disease (PSD) is frequently reported but not well documented. Objectives To determine the prevalence and characteristics of inflammatory skin lesions located in the intergluteal fold (IGF) of patients with HS. Methods This was an international multicentre retrospective cross‐sectional study based on data collection from a large cohort of patients with HS with and without histopathology. Results From a total of 2465 patients with HS included in the study, 661 (27%) reported lesions in the IGF. These patients were significantly more often smokers and had more severe HS. Of the 238 patients with an available clinical diagnosis, intergluteal‐HS (IG‐HS) was diagnosed in 52 patients (22%) and PSD was diagnosed in 186 patients (78%). IG‐HS was associated with the localization of HS in the proximity of the IGF, including the buttocks, genitals and the anus. There was a possibility of misclassification bias in this study as a clinical/image‐based diagnosis or histopathology of the IGF lesions was not always available. Conclusions The high prevalence of PSD suggests a strong link between both entities. Therefore, it may be useful to identify common pathophysiological mechanisms and develop common therapeutic strategies. What's already known about this topic? The occurrence of pilonidal sinus disease has not been clearly reported among patients with hidradenitis suppurativa/acne inversa. What does this study add? This is the first study that investigated the prevalence of pilonidal sinus disease among a large cohort of patients and identified the patient characteristics. Risk factors that might help to improve the management of patients were identified.

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Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 45%

Pilonidal sinus disease: an intergluteal localization of hidradenitis suppurativa/acne inversa: a cross‐sectional study among 2465 patients

et al. 2019

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“…Nevertheless, the disease is thought to be associated with hormonal changes that lead to hair obstruction and development of hair follicles in the pilosebaceous glands in the sacrococcygeal region (1,2). The known major risk factors include obesity (BMI > 25 kg/m 2 ), local trauma, prolonged sitting, deep natal clefts in the navicular area, hormonal disturbances such as increased total testosterone and prolactin, poor hygienic behaviours, hairy body type, and positive family history (8)(9)(10).…”

Section: Discussionmentioning

confidence: 99%

Comparison of postoperative quality of life of Limberg flap and Karydakis flap in pilonidal sinus operations

et al. 2020

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Objective: Pilonidal sinus disease (PSD), most commonly seen in young men, is a chronic disease resulting from the pilosebaceous in the sacrococcygeal region. There is still no standardization in surgical treatment. In this study, the effectiveness, follow up outcomes and quality of life level were compared between Karydakis flap (KF) and Limberg flap (LF) operations. Material and Methods:Among the patients who had undergone PSD surgery in our clinic between 2015 and 2016, those who could be reached and who received KF (n= 53) and LF (n= 51) operations were included into the study. Clinical data of these patients were retrospectively evaluated. Postoperative satisfaction levels of the patients were determined with Cardiff wound healing survey questions and visual analog scale.Results: Mean operational time was 54 (44-75) minutes in the LF group and 45 (35-60) minutes in the KF group, and it was statistically significant (p= 0.001). Mean time to return to work was 14.3 (9-28) days in the LF group and 17.6 (10-30) days in the CF group and was statistically significant (p= 0.001). The rates of complications and recurrence were lower in the LF group although the difference was not statistically significant between the groups (p> 0.05). Mean psychosocial assessment score was 70.3 (57.5-88.7) in the KF group and 73.4 (53.5-87.5) in the LF group and the difference was statistically significant (p= 0.001). Conclusion:LF was a more reliable and preferable method compared to KF because of earlier return-to-work, lower rate of recurrence at long term follow up, and higher psychosocial satisfaction.

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“…In etiology of pilonidal sinus disease, some risk factors such as obesity, excessive hair growth, bad hygiene, prolonged sitting, family history and trauma have been suggested [5,11,12]. Among these reasons, there is debate about whether obesity is an important factor in the formation of pilonidal sinus disease [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment with rhomboid excision and Limberg flap technique under spinal anesthesia of 23 young with pilonidal sinus disease

Öztürk

Yoldaş²,

Karagöz³

2018

j-ebr

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A B S T R A C T Aim:To present the experience of treatment with Limberg flap procedure under spinal anesthesia in 23 young patients with pilonidal sinus disease. Methods: This was a retrospective study of 23 young patients who underwent surgery for pilonidal sinus disease under spinal anesthesia between January 2011 and November 2017 in the Division of Pediatric Surgery. All patients were evaluated for age, sex, clinical diagnosis, and body mass index, and infection, duration of symptoms, treatment, healing time, recurrences, complications and results. Results: Of the 23 patients, 4 (17%) were male, and 19 (83%) were female. The mean age of the patients was 15.21 ± 2.8 years and the mean symptom duration was 4 ± 2.6 months. In 13 patients (56.5%), there was one or more sagittal lines in the midline and the mean sinus number of the patients was 2.12 ± 0.60. Pain was the most important complaint affecting the quality of life of the patient. The mean body mass index was 26.33 ± 2.54 kg / m2, and 47.8% (n = 11) were high BMI and 53.2% were normal BMI. One patient had temporary headache and one patient had urinary retention. Wound infection occurred in 2 patients (8.6%). Recurrence was not observed in patients. Conclusion: In this study, pilonidal sinus disease was treated with Limberg flap procedure under spinal anesthesia. The combination of these two applications in patients with pilonidal sinus may provide significant advantages, such as rapid recovery and short hospital stay, early return to daily activities, low complications, and recurrence rates.

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Evaluation of the risk factors of pilonidal sinus: A single center experience

Cited by 55 publications

References 11 publications

Pilonidal sinus disease: an intergluteal localization of hidradenitis suppurativa/acne inversa: a cross‐sectional study among 2465 patients

Pilonidal sinus disease: an intergluteal localization of hidradenitis suppurativa/acne inversa: a cross‐sectional study among 2465 patients

Comparison of postoperative quality of life of Limberg flap and Karydakis flap in pilonidal sinus operations

Surgical treatment with rhomboid excision and Limberg flap technique under spinal anesthesia of 23 young with pilonidal sinus disease

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