Family History of Pilonidal Sinus Predisposes to Earlier Onset of Disease and a 50% Long-Term Recurrence Rate

Abstract

Patients with a positive family history need closer surgical monitoring because primary disease will manifest earlier. A remarkable long-term recurrence rate exceeding 50% after 25 years places a much higher disease burden on patients with a positive family history. All available interventions known to reduce recurrence rate should be applied to this group of patients.

Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence

“…PSD is reported to be more common in hirsute people with dark skin and dark hair, with a smaller frequency in black and Asian people. 3,7 Nonetheless, 119 (82.6%) of our patients were dark skinned, but they did not present a significant distribution in terms of postoperative complications and recurrence.…”

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

“…Doll et al (11) documented that patients with positive family history developed pilonidal disease earlier than other patients.…”

Sinus Excision and Primary Closure Versus Laying Open in Pilonidal Disease: A Prospective Randomized Trial

“…1 The disease mainly affects young and middleaged individuals and is associated with a family history, obesity, and hirsutism. [2][3][4] A proposed mechanism behind pilonidal disease is the development of a hair invaginated into a pilonidal pit followed by a local inflammation. 5 Some cysts get infected, which leads to inflammation and pain.…”