Pilonidal Sinus Disease: An Analysis of the Factors Affecting Recurrence

Kanlıöz, Murat; Ekici, Uğur; Tatlı, Faik; Karatas, Turgay

doi:10.1097/01.asw.0000725168.11099.92

Cited by 13 publications

(8 citation statements)

References 11 publications

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“…recognised, suggesting that the cause of pilonidal sinus lies in hard hair, skin injury, hair suction by the skin and other factors. 14 However, factors such as local soft tissue injury, prolonged sitting, hair hardness, and local longterm irritation are all high-risk factors for the disease. There are already lots of studies focusing on SPS, and its ideal treatment is controversial.…”

Section: Discussionmentioning

confidence: 99%

“…As the hair detaches from the root, suction generated within the cuticularized fine channel sucks into the channel, which leads to sinus formation 12,13 . In recent years, the acquired theory has been mostly recognised, suggesting that the cause of pilonidal sinus lies in hard hair, skin injury, hair suction by the skin and other factors 14 . However, factors such as local soft tissue injury, prolonged sitting, hair hardness, and local long‐term irritation are all high‐risk factors for the disease.…”

Section: Discussionmentioning

confidence: 99%

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Effect of sinus resection combined with vacuum‐assisted closure on sacrococcygeal pilonidal sinus

Xiao

Zhao

Shen

et al. 2023

International Wound Journal

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This study was aimed at investigating the effect of sinus removal combined with vacuum‐assisted closure in the treatment of sacrococcygeal pilonidal sinus. From January 2019 to May 2022, 62 patients with sacrococcygeal pilonidal sinus were treated and their information was collected at our hospital. These patients were randomly divided into two groups: an observation group (n = 32) and a control group (n = 30). The control group underwent a simple sinus resection and suture, while the observation group received a sinus resection combined with closed negative pressure drainage of the wound. A retrospective analysis of the data obtained was conducted. Perioperative indicators, clinical efficacy, postoperative pain, complications, aesthetic effects, and satisfaction scores at six months after the operation were compared between the two groups, and the recurrence rate at six months after the operation was recorded. Through this study, we found that the observation group had significantly shorter surgery time, hospital stay, and return time compared with the control group (P < 0.05). Additionally, the observation group had a higher overall recurrence rate (ORR) of 100.00%, which was significantly better than the control group's ORR of 86.67% (P < 0.05). The visual analog scale (VAS) score at 6, 12, and 24 h after the operation was significantly lower in the observation group compared with the control group (P < 0.05). Although the differences were not significant (P > 0.05), the observation group had decreased white blood cell, neutrophil, and C‐reactive protein levels after the operation. Moreover, the total occurrence rate of postoperative complications in the observation group was significantly lower (6.25%) than that of the control group (26.67%; P < 0.05). The observation group also had significantly lower scores on the postoperative scar scale and higher satisfaction scores than the control group (P < 0.05). However, there was no significant difference in the postoperative recurrence rate between the two groups (P > 0.05). Our study demonstrated that sinus resection combined with vacuum‐assisted closure was more effective in treating sacrococcygeal pilonidal sinus compared with simple sinus resection and suture. This approach significantly reduced surgery time, hospital stay, and return time. It also effectively relieved postoperative pain, reduced the occurrence of postoperative complications, resulted in smaller postoperative scars, and yielded better aesthetic outcomes and higher patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of sinus resection combined with vacuum‐assisted closure on sacrococcygeal pilonidal sinus

Xiao

Zhao

Shen

et al. 2023

International Wound Journal

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“…Dentro del importante arsenal de patologías perianales, las más frecuentes y por las que suele acudir a consulta los pacientes son las hemorroides, la fisura anal, la fístula anal, el sinus pilonidal y la hidradenitis perianal 6 . Entre la fisiopatología de un parte de estas afecciones, la obesidad juega un papel importante en algunas de ellas [7][8][9] . El objetivo de nuestro estudio es realizar una descripción y análisis sobre la patología anal benigna en pacientes obesos mórbidos candidatos a cirugía bariátrica.…”

Section: Anal Disease In Patients Who Are Candidates For Bariatric Su...unclassified

“…En el estudio presentado se describe la incidencia de la patología perianal benigna en la población obesa candidata a cirugía bariátrica. Los resultados de nuestro estudio muestran que se trata de enfermedades con alta prevalencia, y que tienen impacto en la calidad de vida de los pacientes, siendo muchas veces infradiagnosticadas [7][8][9] . La enfermedad hemorroidal es una patología frecuente.…”

Section: Discusionunclassified

Enfermedad anal en pacientes candidatos a cirugía bariátrica: estudio descriptivo

García-Redondo¹,

Ferrer-Márquez²,

Rubio-Gil³

et al. 2023

BMI Journal

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“…The risk factors for SPS mainly include obesity, sedentary lifestyle, excessive body hair, family history, and poor hygiene habits 15 . In a recent study, oily and dark skin were also found to be risk factors for the development of an SPS 16 . In addition, in a retrospective study with a median follow-up time of 42 months, Li and colleagues used MRI to accurately measure the basic parameters (size, volume, position, surrounding tissue) of the SPS.…”

mentioning

confidence: 92%

Progress in the surgical treatment of sacrococcygeal pilonidal sinus: a review

Zhang

Wang

2023

International Journal of Surgery

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Background: A pilonidal sinus (PS) is an acquired disease resulting from recurrent infections and chronic inflammation. A PS involving the sacrococcyx is referred to as a sacrococcygeal PS (SPS). An SPS is a rare chronic infectious disease for which surgery is a good choice. The incidence of SPS has gradually increased worldwide in recent years. However, surgeons have not reached a consensus on the preferred surgical approach for SPS. The authors performed a systematic review and meta-analysis to analyze differences in the efficacy of different surgical approaches for the treatment of SPS. Methods: A systematic search was conducted in the PubMed database covering the period from 1 January 2003, to 28 February 2023. The primary outcome parameters were recurrence and infection. Finally, statistical analysis (meta-analysis) was carried out using RevMan 5.4.1 software. In addition, we systematically reviewed the latest progress in the surgical treatment of SPS over the past 20 years, especially as reported in the past 3 years. Results: Twenty-seven articles, 54 studies, and 3612 participants were included in this meta-analysis. The recurrence rate following the midline closure (MC) technique was much higher than that of other techniques. Among the techniques analyzed, the differences between MC and Limberg flap (LF), and between MC and marsupialization were statistically significant [P=0.0002, risk ratio (RR)=6.15, 95% CI 2.40, 15.80; P=0.01, RR=12.70, 95% CI 1.70, 95.06]. The recurrence rate of open healing was higher than that of the Karydakis flap (KF) technique, and the difference was statistically significant (P=0.02, RR=6.04, 95% CI 1.37, 26.55). Most of the results comparing MC with other techniques suggested that the former had a higher infection rate, and the difference between MC and LF was statistically significant (P=0.0005, RR=4.14, 95% CI 1.86, 9.23). Comparison between KF and LF, modified LF and KF showed that the differences were not statistically significant in terms of recurrence and infection (P≥0.05). Conclusions: There are various surgical treatment options for SPS, including incision and drainage, excision of diseased tissue with primary closure and secondary healing, and minimally invasive surgery. It is still not possible to determine which surgical technique should be considered the gold standard for treatment, as even the results of different researchers using the same operation method are conflicting. But what is certain is that the midline closure technique has a much higher incidence of postoperative recurrence and infection than other techniques. Therefore, the anorectal surgeon should formulate the most suitable individualized plan for the patient based on a comprehensive evaluation of the patient’s wishes, appearance of the SPS, and the professional ability of the surgeon.

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Pilonidal Sinus Disease: An Analysis of the Factors Affecting Recurrence

Cited by 13 publications

References 11 publications

Effect of sinus resection combined with vacuum‐assisted closure on sacrococcygeal pilonidal sinus

Effect of sinus resection combined with vacuum‐assisted closure on sacrococcygeal pilonidal sinus

Enfermedad anal en pacientes candidatos a cirugía bariátrica: estudio descriptivo

Progress in the surgical treatment of sacrococcygeal pilonidal sinus: a review

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