Pilonidal Sinus Disease: An Analysis of the Factors Affecting Recurrence
Abstract
OBJECTIVE: To assess the success of treatment methods at reducing recurrence,
the most important problem in pilonidal sinus disease (PSD), along with factors
affecting the occurrence of PSD and posttreatment recurrence.
METHODS: The researchers retrospectively analyzed files of patients treated for
PSD between 2003 and 2018. Three study groups were created: G1, G2, and G3. G1
included all PSDs with recurrence, and a comparable number of cases without
recurrence were selected randomly for the G2 group. The control group, G3, included
healthy individuals without PSD. In all groups, the following were recorded: body
mass index, skin color and oiliness, family history of PSD, hair overgrowth, smoking
habit, time spent sitting per day, and number of baths per week. The following were
additionally recorded for G1 and G2: treatment methods, follow-up periods,
pretreatment abscess(es), and time of onset of complaints before treatment. The
number of recurrences and the period between last treatment and recurrence were
also recorded for G1.
RESULTS: G1 comprised 234 patients; G2, 247 patients; and G3, 128 healthy
individuals. The significant factors causing recurrence included body mass index,
family history, bathing habits, hair overgrowth, skin color and oiliness, time spent
sitting per day, smoking habit, abscess(es), and duration of symptom(s) (P < .05).
Limberg flap repair was the most successful treatment method. Sixty-three (27%),
135 (58%), and 185 (79%) recurrences occurred in the first 6 months, in the first year,
and in the first 2 years, respectively.
CONCLUSIONS: The researchers recommend Limberg flap repair for treatment. It
is possible to reduce recurrence by taking preventable factors into consideration.
Volume
34Issue
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