The risk of recurrence of Pilonidal disease after surgical management.

Autor: Almajid FM; Department of Surgery, King Fahd Hospital of the University, University of Dammam, Alkhobar, Kingdom of Saudi Arabia. E-mail. fmalmajid@uod.edu.sa., Alabdrabalnabi AA, Almulhim KA
Jazyk: angličtina
Zdroj: Saudi medical journal [Saudi Med J] 2017 Jan; Vol. 38 (1), pp. 70-74.
DOI: 10.15537/smj.2017.1.15892
Abstrakt: Objectives: To estimate the rate of the Pilonidal disease (PND) recurrence and to evaluate the associated predictors of the recurrence. Methods: This is a retrospective study, conducted at King Fahd Hospital of the University in Alkhobar, Kingdom of Saudi Arabia over a period of 10 years from January 2003 until December 2013.  Results: A study of 366 with PND, 19 of those were identified as secondary cases and excluded. Most involved 347 patients were Saudi (82.1%), single (87%), and men (93.1%). The mean age of the sample was 23 ± 8 years, and the mean body mass index (BMI) was 29.7 ± 6 Kg/m2. Overall recurrence rate after the surgical management was found in 25 patients (7.2%). By logistic regression to the recurrence group, young age group, prolong sitting and BMI may increase the likelihood of the disease recurrence. Conclusion: Pilonidal disease still has challenges in its management. Treatment should depend on the extent and severity of the disease. The recurrence rate in this study is approximately 7.2%. The most predominate factors associated with recurrence were prolong sitting job, young age group, and high BMI.
Databáze: MEDLINE