The etiology of pilonidal sinus

Franckowiak, John J.; Jackman, Raymond J.

doi:10.1007/bf02616408

Cited by 50 publications

(23 citation statements)

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“…However, a clear defini tion o f what constitutes a recurrence as opposed to a post operative wound complication is often lacking [15,18]. Wound infection, previously found to be present in 44% o f our patients with recurrence [ 19], and in 27% (12/ 44) in this study, may be the promotive factor o f recurrent disease [13,14,20]. Kronborg et al [18] argue that an early recurrence is an overlooked sinus.…”

Section: Discussionmentioning

confidence: 74%

Recurrent Pilonidal Sinus: Etiology and Treatment

Søndenaa¹,

Nesvik²,

Andersen³

et al. 1995

Dig Surg

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A clinical and histologic study of recurrent pilonidal sinus is presented. During a 5-year period 44 patients were treated for recurrent pilonidal sinus. Of these, recurrence had occurred within 1 year in 26 patients (76%). After 26 reoperations with excision and primary suture further recurrence was seen in 23% (6/26), and in 24% (6/25) after reoperations with open treatment. The histologic findings in recurrent sinuses (18 patients) were almost identical to that of primary disease. Recurrent sinuses were situated in the scar in 80% of the cases and caudal in 50% of the cases. A known wound infection had been present in 27% of the patients. Although keratin plugs were observed in 15/18 (83%) of those with a recurrence, the importance of this finding is uncertain. We conclude that recurrent pilonidal sinuses are chronic inflammatory processes usually located at the site of the surgical wound. The cause is uncertain, although there is an indication that wound infection plays a role. Keratin plugs have also been observed in scar tissue. Surgical treatment of recurrent disease has a higher recurrence rate than after that of primary disease.

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Section: Discussionmentioning

confidence: 74%

Recurrent Pilonidal Sinus: Etiology and Treatment

Søndenaa¹,

Nesvik²,

Andersen³

et al. 1995

Dig Surg

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“…Franckowiak et al found that 67% of the females in their study diagnosed with pilonidal sinus disease were obese. [25] Sondenaa et al found that 37% of the patients were overweight and 12% were obese. [26] In our study, the mean body mass index of all cases was found 22.58±2.64, and 4.6% of patients were obese, 30.3% were overweight, and 65.1% were normal.…”

Section: Discussionmentioning

confidence: 98%

Limberg flap procedure for pilonidal sinus disease: results of 353 patients

Menteş

Bağcı

Bilgin

et al. 2007

Langenbecks Arch Surg

109

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“…Franckowick et al found that 67 percent of the females in their series diagnosed with pilonidal disease were obese. 17 Sondenaa et al found that 37 percent of the patients were overweight and 12 percent were obese. 16 However, Ç ubukçu et al emphasized that obesity alone is not a predisposing factor.…”

Section: Discussionmentioning

confidence: 99%