Treatment of Pilonidal Sinus by Primary Closure

Turner, Fennell P.; O'Neil, Joseph W.

doi:10.1001/archsurg.1959.04320030042008

Cited by 7 publications

(2 citation statements)

References 11 publications

(1 reference statement)

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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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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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show abstract

“…Primary closure was attempted as early as 1933 (3), but wound complications were high in the pre-antibiotic era. Several subsequent publications focused on surgical methods, including H-like (4) and Star-like (5-7) incisions, partial closure, obliteration of dead space using metal wires (8)(9)(10) or cotton rolls (11)(12)(13), and even perceived advantages and disadvantages of surgical drains (14,15). Roentgen irradiation, radioactive substances and obliterating substances were tried.…”

Section: Introductionmentioning

confidence: 99%

Turkey is leading in the 21st century pilonidal sinus disease research

et al. 2020

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Objective: Pilonidal sinus disease (PSD) has been a recognized pathology for the past 188 years. We studied whether scientific interest in this common disease has grown or declined over time. Our investigation included analysis of the world literature between 1833 and 2018. Material and Methods: A PubMed search was conducted to identify all publications on pilonidal sinus disease, broken down by country, year of publication and number of patients included or described. Results: The number of patients studied has been increasing, with date of more than 10,000 patients published per decade since 1970, and the total number of affected patients exceeding n= 40.000 in 2010 and Turkey leads the research, contributing 39% of the Mediterranean patients and 18% of the patients globally, while Italy provides 26% of the Mediterranean patients and 12% of the global total. Flap studies have increased, whereas primary open treatment studies have decreased from 40% in 1940 to less than 10% at present. Twenty percent of the studies performed today report primary median approaches, and the number of randomized controlled trials has increased. Conclusion: Surgeons in Turkey currently publish the lion´s share of the pilonidal sinus literature.

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Mißbildungen des Rückenmarks

Gerlach¹,

Jensen²

1969

Handbuch Der Neurochirurgie

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Treatment of Pilonidal Sinus by Primary Closure

Cited by 7 publications

References 11 publications

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

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

Turkey is leading in the 21st century pilonidal sinus disease research

Mißbildungen des Rückenmarks

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