Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Dec 2.
doi: 10.1111/codi.17217. Online ahead of print.

A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease

Eleonora A Huurman  1   2 , Christel A L de Raaff  2 , Rosaline van den Berg  3 , Sara J Baart  4 , Bas P L Wijnhoven  1 , Ruben Schouten  5 , Edgar J B Furnée  6 , Robert M Smeenk  2 , Boudewijn R Toorenvliet  7 ; PITS collaborative study group
Collaborators, Affiliations

A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease

Eleonora A Huurman et al. Colorectal Dis. .

Abstract

Aim: Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands.

Method: Patients with PSD who underwent surgical treatment between March 1, 2020, and March 1, 2021, at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with chronic PSD were included for analysis. One-year after surgical treatment for PSD, all patients received questionnaires on wound healing, quality of life (QoL), and patient reported experience measures (PREMs). Primary outcome was recurrence rate. Secondary outcomes included QoL and PREMs.

Results: Of 681 included patients, 405 patients presented with chronic PSD and underwent surgical treatment. One-year questionnaires were completed by 289 out of 405 patients (71.4%). Patients underwent either excision with secondary wound healing (ESW, n = 73), excision with midline closure (EMC, n = 21), off-midline closure (OMC, n = 17), or a minimally invasive technique (MIT, n = 178). Patient-reported recurrence rates after ESW, EMC, OMC and MIT were 21.5%, 25%, 6.7% and 30.6%, respectively. Pain/discomfort and anxiety/depression were the most frequently reported problems affecting QoL. Patients that underwent OMC were satisfied the most with the care provided.

Conclusion: This study demonstrates variation in recurrence rates among surgical procedures for PSD. The highest rates were observed in the MIT and EMC group, while the OMC group exhibited the lowest rate. QoL outcomes differed among the surgical techniques. Patient satisfaction appears highest in the OMC group.

Keywords: excision with midline closure; excision with secondary wound healing; minimally invasive technique; off‐midline closure; patient reported experience measures; pilonidal sinus disease; quality of life; recurrence rate.

PubMed Disclaimer

References

REFERENCES

    1. Søndenaa K, Andersen E, Nesvik I, Søreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Color Dis. 1995;10(1):39–42.
    1. Iesalnieks I, Ommer A, Petersen S, Doll D, Herold A. German National Guideline on the Management of pilonidal disease. Langenbeck's Arch Surg. 2016;401(5):599–609.
    1. Huurman EA, Galema HA, de Raaff CAL, Wijnhoven BPL, Toorenvliet BR, Smeenk RM. Non‐excisional techniques for the treatment of intergluteal pilonidal sinus disease: a systematic review. Tech Coloproctol. 2023;27(12):1191–1200.
    1. Stauffer VK, Luedi MM, Kauf P, Schmid M, Diekmann M, Wieferich K, et al. Common surgical procedures in pilonidal sinus disease: a meta‐analysis, merged data analysis, and comprehensive study on recurrence. Sci Rep. 2018;8:8.
    1. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495–1499.

LinkOut - more resources