Experience with Pilonidal Disease in Children

Fike, Frankie B.; Mortellaro, Vincent E.; Juang, David; Ostlie, Daniel J.; Peter, Shawn D. St.

doi:10.1016/j.jss.2011.02.016

Cited by 48 publications

(26 citation statements)

References 15 publications

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“…Our study population characteristics reflect previous studies in regards to age since most reports cite a median age of 16 years old, with the youngest cases being around 12 years old at the time of surgery [5,13,16,22]. In contrast to findings in the adult population, gender distribution in pediatric SPS studies is often contradictory, with some describing either male preponderance [5,17,23] (as we report), similar rate for males and females [16] or a slight female preponderance [15,24]. Also, and in contrast to previous reports, we found no significant differences between male and female patients regarding age at surgeryprevious studies report on a younger age at diagnosis and surgery in females, and it has been postulated to occur due to the early puberty in girls versus boys [13].…”

Section: Discussionsupporting

confidence: 84%

See 1 more Smart Citation

Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population

Barbosa-Sequeira

Coelho

Marinho

et al. 2018

Journal of Pediatric Surgery

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Section: Discussionsupporting

confidence: 84%

“…However, virtually all methods show considerably high recurrence rates due to SPS pathophysiology. Additionally, reports in pediatric SPS management are limited and represent mostly retrospective reviews, thus results vary widely and recommendations are often contradictory [5,[12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population

Barbosa-Sequeira

Coelho

Marinho

et al. 2018

Journal of Pediatric Surgery

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“…Specifically, older females had the best outcomes. This observation may be partially explained by improved personal hygiene and compliance in older patients, as previous studies have shown that poor hygiene is associated with higher rates of recurrence and complication (15,34). In addition, patients that require surgical intervention at a younger age may have more severe disease and prone to worse outcomes.…”

Section: Discussionmentioning

confidence: 95%

“…Overall cohort demographics are provided in Table 1. Overall mean age was 18.4 years (range [11][12][13][14][15][16][17][18][19][20][21][22][23][24]. There was a slight predominance of females in the cohort (51%).…”

Section: Patient Demographics and Managementmentioning

confidence: 99%

Analysis of Outcomes in Adolescents and Young Adults With Pilonidal Disease

et al. 2021

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Purpose: Numerous definitive surgical techniques exist for the treatment of pilonidal disease with varied recurrence rates and wound complications. Due to the wide array of techniques and lack of consensus on the best approach, we proposed to study our experience treating pilonidal disease in adolescents and young adults.Methods: A retrospective analysis was conducted of patients 10–24 years old treated at a tertiary medical center from 2011 to 2016. Data including demographics, management, and outcomes were collected and analyzed. Primary outcome was recurrence of disease.Results: One hundred and thirty three patients with pilonidal disease underwent operative management. Fifty one percent underwent primary closure and 49% healed by secondary intention with no significant difference in recurrence rates (primary 18%, secondary 11%; p = 0.3245). Secondary healing patients had significantly lower wound complication rates (primary 51%, secondary 23%; p = 0.0012). After accounting for sex, race, weight, and operative technique, age was predictive of disease recurrence with an adjusted odds ratio (OR) of 0.706 (0.560–0.888; p = 0.003). Age and sex were both predictive of wound complications. Older patients had decreased risk of wound complication (adjusted OR 0.806, 95% CI 0.684–0.951; p = 0.0105), and male patients had increased risk of wound complication (adjusted OR 2.902, 95% CI 1.001–8.409; p = 0.0497).Conclusion: In summary, there is no significant difference in the recurrence rates between operative techniques for pilonidal disease. Older patients have decreased risk of recurrence following intervention. Wound complication rates are lower in patients undergoing secondary healing, though this may be better explained by differences in age and sex. Additional research investigating newer, minimally-invasive techniques needs to be pursued.

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“…The resultant wound defect can be closed primarily in the midline or with a flap obliterating the cleft. Rates of wound breakdown up to 40 % are reported in children [3]. Open healing reduces the risk of recurrence by 35 % versus any closed method in meta-analysis [4].…”

Section: Introductionmentioning

confidence: 99%