Sacrococcygeal Pilonidal Sinus Disease

Goswitz, John T.

doi:10.1001/archsurg.1965.01320120092007

Cited by 8 publications

(2 citation statements)

References 5 publications

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“…Data on recurrence and follow-up times pertaining to 3,207 patients treated for PSD by other flap techniques were extracted from 55 additional non-RCTs 4 , 108 , 109 , 115 , 129 , 132 , 133 , 137 , 143 , 163 , 170 , 171 , 177 , 188 , 190 , 193 , 200 , 204 , 215 , 218 , 224 , 230 , 245 , 272 , 279 , 294 , 303 , 313 , 315 , 317 , 318 , 336 , 352 , 358 , 363 , 369 , 593 , 605 – 622 . Among these patients, a recurrence of 1.8% (95% CI 1.2–2.3%) was observed in patients at 12 months, 5.6% (95% CI 4.5–6.7%) at 24 months, 9.4% (95% CI 7.6–11.1%) at 60 months, and 16.3% (95% CI 11.8–20.9%) at 120 months (Supplementary Fig.…”

Section: Resultsmentioning

confidence: 99%

Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence

Stauffer

Luedi

Kauf

et al. 2018

Sci Rep

192

191

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We systematically searched available databases. We reviewed 6,143 studies published from 1833 to 2017. Reports in English, French, German, Italian, and Spanish were considered, as were publications in other languages if definitive treatment and recurrence at specific follow-up times were described in an English abstract. We assessed data in the manner of a meta-analysis of RCTs; further we assessed non-RCTs in the manner of a merged data analysis. In the RCT analysis including 11,730 patients, Limberg & Dufourmentel operations were associated with low recurrence of 0.6% (95%CI 0.3–0.9%) 12 months and 1.8% (95%CI 1.1–2.4%) respectively 24 months postoperatively. Analysing 89,583 patients from RCTs and non-RCTs, the Karydakis & Bascom approaches were associated with recurrence of only 0.2% (95%CI 0.1–0.3%) 12 months and 0.6% (95%CI 0.5–0.8%) 24 months postoperatively. Primary midline closure exhibited long-term recurrence up to 67.9% (95%CI 53.3–82.4%) 240 months post-surgery. For most procedures, only a few RCTs without long term follow up data exist, but substitute data from numerous non-RCTs are available. Recurrence in PSD is highly dependent on surgical procedure and by follow-up time; both must be considered when drawing conclusions regarding the efficacy of a procedure.

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