Purpose
We have previously introduced a minimally invasive technique for the treatment of limited pilonidal disease. In this paper, the results for patients who had at least one year of follow-up are provided.
Methods
All patients operated with the sinus excision technique were studied retrospectively and those who had a follow-up period shorter than 12 months were excluded. Demographics, perioperative and postoperative data, and patient satisfaction scores were obtained from a prospectively designed database. Limited pilonidal disease was defined as disease presenting with less than four visible pits.
Results
Sixty-two patients (56 males, 90.3 percent; mean age, 25.8 ± 10.4 years) were included in the study. Patients returned to work in 1.9 ± 0.7 days, and the mean healing period was 43 ± 10.4 days. All procedures were performed under local anesthesia, and the mean operation time was 9.7 ± 3.4 minutes. The number of outpatient procedures was 45 (72.6 percent). One patient suffered from a minor complication (bleeding that was stopped with electrocauterization; n = 1, 1.6 percent) and recurrence was observed in another case (n = 1, 1.6 percent). Patients received a satisfaction questionnaire, which revealed that 34 patients (54.8 percent) were “completely satisfied with the procedure” and 49 (79 percent) would “absolutely recommend the technique to other patients.”
Conclusions
Sinus excision is an advisable technique for the treatment of limited pilonidal disease, because it can be performed under local anesthesia mostly as an outpatient procedure and the operation time is extremely short. Although the healing period is long, the off-work period is short, and patients are generally satisfied with the procedure. After a medium-term follow-up, the complication and recurrence rates are acceptable. We believe that sinus excision technique is a simple and effective method for the treatment of limited pilonidal disease.
Similar content being viewed by others
References
MR Keighley NS Williams (1997) Surgery of the anus, rectum and colon. Vol 1 EditionNumber2 WB Saunders London 539–563
JH Silva ParticleDa (2000) ArticleTitlePilonidal cyst, cause and treatment Dis Colon Rectum 42 1146–1156 Occurrence Handle10.1007/BF02236564
H Spivak VL Brooks M Nussbaum I Friedman (1996) ArticleTitleTreatment of chronic pilonidal sinus Dis Colon Rectum 39 1136–1139 Occurrence Handle8831530 Occurrence Handle1:STN:280:BymH38fkt1M%3D Occurrence Handle10.1007/BF02081415
TG Allen-Mersh (1990) ArticleTitlePilonidal sinus: finding the right tract for the treatment Br J Surg 76 123–132
HK Hassan ParticleAl IM Francis P Neglen (1990) ArticleTitlePrimary closure or secondary granulation after excision of pilonidal sinus? Acta Chir Scand 156 695–699
AS Azab MS Kamal RA Saas KA Abou Al Atta NA Ali (1984) ArticleTitleRadical cure of pilonidal sinus by a transposition rhomboid flap Br J Surg 71 154–155 Occurrence Handle6692112 Occurrence Handle1:STN:280:BiuC3crkvV0%3D
J Bascom (1983) ArticleTitlePilonidal sinus: long-term results of follicle removal Dis Colon Rectum 26 800–807 Occurrence Handle6641463 Occurrence Handle1:STN:280:BiuD2MjhtFU%3D
PH Lord DM Millar (1965) ArticleTitlePilonidal sinus: a simple treatment Br J Surg 52 298–300 Occurrence Handle14271092 Occurrence Handle1:STN:280:CCqD2srmsVw%3D
PH Lord (1975) ArticleTitleAnorectal problems: etiology of pilonidal sinus Br J Surg 18 661–664 Occurrence Handle1:STN:280:CSmD28rmt1A%3D
MH Edwards (1977) ArticleTitlePilonidal sinus: a 5-year appraisal of the Millar-Lord treatment Dis Colon Rectum 64 867–868 Occurrence Handle1:STN:280:CSeD287lvVA%3D
M Oncel N Kurt M Kement E Colak M Eser H Uzun (2002) ArticleTitleExcision and marsupialization versus sinus excision for the treatment of limited chronic pilonidal disease: a prospective, randomized trial Tech Coloproctol 6 165–169 Occurrence Handle12525910 Occurrence Handle1:STN:280:DC%2BD3s%2FhvFChsw%3D%3D Occurrence Handle10.1007/s101510200037
O Mentes M Bagci T Bilgin I Coskun O Ozgul M Ozdemir (2006) ArticleTitleManagement of pilonidal sinus disease with oblique excision and primary closure: results of 493 patients Dis Colon Rectum 49 104–108 Occurrence Handle16283563 Occurrence Handle10.1007/s10350-005-0226-2
K Sondenaa R Diab I Nesvik et al. (2002) ArticleTitleInfluence of failure of primary wound healing on subsequent recurrence of pilonidal sinus. Combined prospective study and randomised controlled trial Eur J Surg 168 614–618 Occurrence Handle12699097 Occurrence Handle10.1080/11024150201680007
T Akca T Colak B Ustunsoy A Kanik S Aydin (2005) ArticleTitleRandomized clinical trial comparing closure with the Limberg flap in the treatment of primary sacrococcygeal pilonidal disease Br J Surg 92 1081–1084 Occurrence Handle16078300 Occurrence Handle1:STN:280:DC%2BD2MvkvVKkug%3D%3D Occurrence Handle10.1002/bjs.5074
R Gencosmanoglu R Inceoglu (2005) ArticleTitleModified lay-open (incision, curettage, partial lateral wall excision and marsupialization) versus total excision with primary closure in the treatment of chronic sacrococcygeal pilonidal sinus: a prospective, randomized clinical trial with a complete two-year follow-up Int J Colorectal Dis 20 415–422 Occurrence Handle15714292 Occurrence Handle10.1007/s00384-004-0710-5
PR Kitchen (1996) ArticleTitlePilonidal sinus: experience with the Karydakis flap Br J Surg 83 1452–1455 Occurrence Handle8944470 Occurrence Handle1:STN:280:ByiD1MbptVU%3D
Author information
Authors and Affiliations
About this article
Cite this article
Kement, M., Oncel, M., Kurt, N. et al. Sinus Excision for the Treatment of Limited Chronic Pilonidal Disease: Results After a Medium-Term Follow-Up. Dis Colon Rectum 49, 1758–1762 (2006). https://doi.org/10.1007/s10350-006-0676-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10350-006-0676-1