Abstract
(1) Background: Several techniques for the treatment of pilonidal sinus disease (PSD) are in vogue, though none have emerged as the gold standard. Laying open (deroofing) and curettage under local anesthesia is one of the most straightforward procedures to treat PSD. In this study, the long-term follow-up in a large series was analyzed. (2) Methods: The laying open approach was performed for all types of consecutive PSD patients—simple, complicated, and abscess. The primary outcome parameter of the study was the healing rate. The secondary outcome parameters were operating time, hospital stay, time to resumption of normal work, and healing time. (3) Results: 111 (M/F–92/19, mean age-22.9 ± 5.7 years) consecutive patients were operated on and followed for 38 months (6–111 months). Of these, 24 had pilonidal abscesses, 87 had chronic pilonidal disease, while 22 had recurrent disease. Operating time and hospital stay were 24 ± 7 min and 66 ± 23 min, respectively. On average, patients could resume normal work in 3.6 ± 2.9 days and the healing time was 43.8 ± 7.4 days. Three patients were lost to follow-up. Complete resolution of the disease occurred in 104/108 (96.3%) patients, while 4 (3.7%) had a recurrence. One recurrence was due to a missed tract, while three recurrences presented after complete healing had occurred. Two patients with recurrence were operated on again with the same procedure, and both healed completely. Thus, the overall success rate of this procedure was 98.1% (106/108) with a recurrence rate after first surgery of 3.7% over a median follow-up of 38 months. (4) Conclusions: Pilonidal disease managed by laying open (deroofing) with curettage under local anesthesia is associated with a high cure rate. This procedure is effective in treating all kinds of pilonidal disease (simple, complicated, and abscess).
Highlights
Though pilonidal sinus disease (PSD) was first defined as far back as 1880 [1], its treatment is still not definitive
(4) Conclusions: Pilonidal disease managed by laying open with curettage under local anesthesia is associated with a high cure rate
Several treatment options have been advocated for PSD, including incision and drainage for acute abscess [2], wide excision and leaving it open to heal by secondary intention [3], or wide excision followed by closure of the resulting wound
Summary
Though pilonidal sinus disease (PSD) was first defined as far back as 1880 [1], its treatment is still not definitive. Several treatment options have been advocated for PSD, including incision and drainage for acute abscess [2], wide excision and leaving it open to heal by secondary intention [3], or wide excision followed by closure of the resulting wound. Laser and endoscopic procedures have been described to treat PSD with a high success rate [9,10]. These extensive procedures increase the magnitude of the surgery and the risk of tissue loss, none of them are established as the gold standard procedure to treat PSD [7,8]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
