Management of sacrococcygeal pilonidal sinus disease: a snapshot of current practice

Shabbir, J.; Chaudhary, B. N.; Britton, D C

doi:10.1007/s00384-011-1169-9

Cited by 66 publications

(59 citation statements)

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“…Although the superiority of off-midline closure over midline closure is obvious, it is not so common among surgeons [20,21]; it might be due to inadequate formal training in these techniques and need to overcome significant learning curve [22]. EHSI, as an intermediate invasive procedure, can be a proper second choice for the surgeons who are not familiar with off-midline closure methods and flap procedures.…”

Section: Discussionmentioning

confidence: 99%

Karydakis flap versus excision-only technique in pilonidal disease

Keshvari

Keramati

Fazeli

et al. 2015

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 99%

Karydakis flap versus excision-only technique in pilonidal disease

Keshvari

Keramati

Fazeli

et al. 2015

Journal of Surgical Research

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“…Given that which surgery should be considered the optimal treatment for PD remains still unclear [3,4,9] we aimed to provide a snapshot of the current general practice and to compare the clinical outcomes of CL and conventional excision with primary midline closure (EPMC).…”

Section: Introductionmentioning

confidence: 99%

Cleft lift versus standard excision with primary midline closure for the treatment of pilonidal disease. A snapshot of worldwide current practice

et al. 2015

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Background Several surgeries are available to treat pilonidal disease. Methods We analysed the relative effects of conventional excision with primary midline closure compared with the cleft lift procedure on the clinical outcomes of recent published reports. Results A total of 14 studies containing 2089 patients were included in the analysis. At pooled analysis of available data, the cleft lift procedure showed significantly lower rate of recurrence, shorter time to complete wound healing and faster return to daily activities. Conclusions The quality of available inherent evidence is not sufficient to draw definitive conclusions. Although the clinical heterogeneity among studies represents a valid concern, the quantitative synthesis of the recent literature seems to support the use of the cleft lift over conventional excision with primary midline closure. Short Communicationmethodologically considerable papers. Further and well-designed studies are required to provide stronger evidence given that finding a standard procedure for the treatment of PD remains a research priority.

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“…Pilonidal sinus disease (PSD) which was described for the first time by Herbert Mayo in 1833, is seen in 0.7% of the world population (1). Of all PSD cases, 97.8% are observed in the sacrococcygeal region, and 2.2% in extra sacrococcygeal regions such as fingers, umbilicus and neck (1,2). PSD has been mostly defined in young men (1).…”

Section: Introductionmentioning

confidence: 99%

Comparison of postoperative quality of life of Limberg flap and Karydakis flap in pilonidal sinus operations

et al. 2020

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Objective: Pilonidal sinus disease (PSD), most commonly seen in young men, is a chronic disease resulting from the pilosebaceous in the sacrococcygeal region. There is still no standardization in surgical treatment. In this study, the effectiveness, follow up outcomes and quality of life level were compared between Karydakis flap (KF) and Limberg flap (LF) operations. Material and Methods:Among the patients who had undergone PSD surgery in our clinic between 2015 and 2016, those who could be reached and who received KF (n= 53) and LF (n= 51) operations were included into the study. Clinical data of these patients were retrospectively evaluated. Postoperative satisfaction levels of the patients were determined with Cardiff wound healing survey questions and visual analog scale.Results: Mean operational time was 54 (44-75) minutes in the LF group and 45 (35-60) minutes in the KF group, and it was statistically significant (p= 0.001). Mean time to return to work was 14.3 (9-28) days in the LF group and 17.6 (10-30) days in the CF group and was statistically significant (p= 0.001). The rates of complications and recurrence were lower in the LF group although the difference was not statistically significant between the groups (p> 0.05). Mean psychosocial assessment score was 70.3 (57.5-88.7) in the KF group and 73.4 (53.5-87.5) in the LF group and the difference was statistically significant (p= 0.001). Conclusion:LF was a more reliable and preferable method compared to KF because of earlier return-to-work, lower rate of recurrence at long term follow up, and higher psychosocial satisfaction.

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Management of sacrococcygeal pilonidal sinus disease: a snapshot of current practice

Cited by 66 publications

References 0 publications

Karydakis flap versus excision-only technique in pilonidal disease

Karydakis flap versus excision-only technique in pilonidal disease

Cleft lift versus standard excision with primary midline closure for the treatment of pilonidal disease. A snapshot of worldwide current practice

Comparison of postoperative quality of life of Limberg flap and Karydakis flap in pilonidal sinus operations

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