Pilonidal sinus disease recurrence at a tertiary care center in Riyadh.
Journal
Annals of Saudi medicine
ISSN: 0975-4466
Titre abrégé: Ann Saudi Med
Pays: Saudi Arabia
ID NLM: 8507355
Informations de publication
Date de publication:
Historique:
entrez:
4
6
2021
pubmed:
5
6
2021
medline:
18
9
2021
Statut:
ppublish
Résumé
Pilonidal sinus disease (PSD) is a chronic inflammatory disease of the sacrococcygeal area. Pilonidal sinus recurrence is a matter of concern to both patients and healthcare providers. Estimate the rate of PSD recurrence in our center and identify any risk factors contributing to disease recurrence. Retrospective. Tertiary care center in Riyadh. All patients who underwent surgery for primary or recurrent pilonidal sinus between 1 January 2016 to 30 June 2019 were included to allow for at least 1-year of follow-up at the time of data collection. Recurrence rate of PSD and risk factors for recurrence. 369 patients: 329 males (89.2%) and 40 (10.8%) females. Median (interquartile range) age was 21 (18-26) years. Of the 369 included patients, recurrence was identified in 84 (22.8%) cases [95% confidence interval (CI) 18.6-27.4], and the mean timing of recurrence was 1.8 (1.6) years after the primary surgery. In a multivariate logistic regression analysis, increased age and post-operative seroma fluid discharge were independent risk factors for recurrence. In contrast, preoperative antibiotic prophylaxis and postoperative hair removal were effective in reducing recurrence. Type of surgery closure had no effect on recurrence, yet primary closure was associated with early onset of recurrence compared to secondary closure ( Our findings on the factors associated with recurrence of PSD are consistent with many reports in the literature. Reported prevalence estimates vary widely. Single center, small sample size, retrospective. None.
Sections du résumé
BACKGROUND
BACKGROUND
Pilonidal sinus disease (PSD) is a chronic inflammatory disease of the sacrococcygeal area. Pilonidal sinus recurrence is a matter of concern to both patients and healthcare providers.
OBJECTIVES
OBJECTIVE
Estimate the rate of PSD recurrence in our center and identify any risk factors contributing to disease recurrence.
DESIGN
METHODS
Retrospective.
SETTING
METHODS
Tertiary care center in Riyadh.
PATIENTS AND METHODS
METHODS
All patients who underwent surgery for primary or recurrent pilonidal sinus between 1 January 2016 to 30 June 2019 were included to allow for at least 1-year of follow-up at the time of data collection.
MAIN OUTCOME MEASURE
METHODS
Recurrence rate of PSD and risk factors for recurrence.
SAMPLE SIZE AND CHARACTERISTICS
UNASSIGNED
369 patients: 329 males (89.2%) and 40 (10.8%) females. Median (interquartile range) age was 21 (18-26) years.
RESULTS
RESULTS
Of the 369 included patients, recurrence was identified in 84 (22.8%) cases [95% confidence interval (CI) 18.6-27.4], and the mean timing of recurrence was 1.8 (1.6) years after the primary surgery. In a multivariate logistic regression analysis, increased age and post-operative seroma fluid discharge were independent risk factors for recurrence. In contrast, preoperative antibiotic prophylaxis and postoperative hair removal were effective in reducing recurrence. Type of surgery closure had no effect on recurrence, yet primary closure was associated with early onset of recurrence compared to secondary closure (
CONCLUSION
CONCLUSIONS
Our findings on the factors associated with recurrence of PSD are consistent with many reports in the literature. Reported prevalence estimates vary widely.
LIMITATION
CONCLUSIONS
Single center, small sample size, retrospective.
CONFLICT OF INTEREST
BACKGROUND
None.
Identifiants
pubmed: 34085545
doi: 10.5144/0256-4947.2021.179
pmc: PMC8176377
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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