Sinusectomy and primary closure versus excision and primary closure in pilonidal sinus disease: a retrospective cohort study.

• 影响指数: 2.796
• 发表时间: Jun 2020
• 来源期刊: Int J Colorectal Dis
• DOI: 10.1007/s00384-020-03575-1
• PMID: 32248289
• 文章类型: Comparative Study
• 中科院分区: Q3
• 方向: 医学
• 作者列表: Gul VO,Destek S

关键词: Minimally invasive procedures; Pilonidal sinus disease; Primary closure; Recurrence; Sinusectomy

Mesh: Abscess / etiology; Adult; Female; Humans; Length of Stay; Male; Minimally Invasive Surgical Procedures / adverse effects methods; Pilonidal Sinus / surgery; Recurrence; Retrospective Studies; Seroma / etiology; Surgical Wound Infection / etiology; Time Factors; Wound Closure Techniques; Wound Healing; Young Adult

Abstract

BACKGROUND: Various surgical procedures are available for the treatment of pilonidal sinus diseases (PSD), but the best surgical approach remains controversial. Minimally invasive surgical procedures are more popular than surgery. This study aimed to evaluate the efficacy of sinusectomy with primary closure (SPC) in comparison with excision and primary closure (EPC) in primary or recurrent cases.
METHODS: This single-center retrospective cohort study was conducted with two cohort groups in which 351 patients with PSD underwent either SPC or EPC. The two procedures were compared according to the presence of short-term complications and recurrence of PSD.
RESULTS: Of the patients, 134 underwent EPC and 217 underwent SPC. The length of stay and the wound healing time were significantly longer in the EPC group than in the SPC group. The occurrence rates of wound site infection and abscess were significantly higher in the EPC group than in the SPC group; however, seroma was statistically significantly more common in the SPC group than in the EPC group. The recurrence rates were 18.7% and 5.5% in the EPC and SPC groups, respectively.
CONCLUSIONS: SPC is an efficient procedure for the treatment of patients with PSD showing simple and complicated disease patterns.