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. 2013 Oct-Dec;98(4):319-23.
doi: 10.9738/INTSURG-D-13-00081.1.

Recurrent pilonidal sinus: lay open or flap closure, does it differ?

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Recurrent pilonidal sinus: lay open or flap closure, does it differ?

Tayfun Yoldas et al. Int Surg. 2013 Oct-Dec.

Abstract

Treatment options of pilonidal sinus, which has high recurrence rates, is still controversial. In this study, we aimed to analyze for possible factors affecting recurrence. Forty-one patients with recurrent pilonidal sinus were included in this study. Of them, 33 were male and 9 were female (mean age, 24.9 years; age range, 16-42). Factors (i.e., risk factors) were detected in 32 patients. Excision-secondary healing and lay open was performed on 30 of the patients admitted with recurrence. Excision and flap closure was applied on 11 patients. Our recurrence rate was 9.7%. The recurrence rate of our study is compatible with the literature. Comparative studies are needed to determine the appropriate method to decrease recurrence rate.

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References

    1. Spivak H, Brooks VL, Nussbaum M, Friedman I. Treatment of chronic pilonidal disease. Dis Colon Rectum. 1996;39(10):1136–1139. - PubMed
    1. Søndenaa K, Nesvik I, Anderson E, Natas O, Soreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorectal Dis. 1995;10(1):39–42. - PubMed
    1. McCallum IJD, King PM, Bruce J. Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and meta-analysis. BMJ. 2008;336(7649):868–871. - PMC - PubMed
    1. Søndenaa K, Anderson E, Soreide JA. Morbidity and short-term results in a randomised controlled trial of open compared to closed treatment of chronic pilonidal sinus. Eur J Surg. 1992;158(6–7):351–355. - PubMed
    1. Doll D, Matevossian E, Wietelmann K, Evers T, Kriner M, Petersen S. Family history of pilonidal sinus predisposes to earlier onset of disease and a 50% long-term recurrence rate. Dis Colon Rectum. 2009;52(9):1610–1615. - PubMed

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