Pit picking vs. Limberg flap vs. primary open method to treat pilonidal sinus disease - A cohort of 327 consecutive patients.

Autor:	Doll D; Department of Procto-Surgery, St. Marienhospital Vechta, Academic Teaching Hospital of the MHH Hannover, Vechta, Germany.; Pilonidal Research Group, Vechta, Germany., Petersen S; Pilonidal Research Group, Vechta, Germany.; Department of General and Visceral Surgery, Asklepios Klinikum Hamburg-Altona, Hamburg, Germany., Andreae OA; Department of General and Visceral Surgery, Asklepios Klinikum Hamburg-Altona, Hamburg, Germany., Matner H; Department of General and Visceral Surgery, Asklepios Klinikum Hamburg-Altona, Hamburg, Germany., Albrecht H; Department of General and Visceral Surgery, Asklepios Klinikum Hamburg-Altona, Hamburg, Germany., Brügger LE; Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland., Luedi MM; Pilonidal Research Group, Vechta, Germany.; Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland., Puhl G; Department of General and Visceral Surgery, Asklepios Klinikum Hamburg-Altona, Hamburg, Germany.
Jazyk:	angličtina
Zdroj:	Innovative surgical sciences [Innov Surg Sci] 2022 Jun 27; Vol. 7 (1), pp. 23-29. Date of Electronic Publication: 2022 Jun 27 (Print Publication: 2022).
DOI:	10.1515/iss-2021-0041
Abstrakt:	Background: Minimally invasive methods in pilonidal sinus disease (PSD) surgery are becoming standard. Although long-term results are available for some techniques, long-term outcome data of patients after pit picking is lacking. We aimed at investigating perioperative and long-term outcomes of patients undergoing pit picking, Limberg flap or primary open surgery to treat PSD. Methods: In a single-centre observational study, we evaluated the outcomes of 327 consecutive patients undergoing PSD surgery between 2011 and 2020. Results: PSD had recurred in 22% of Limberg flap patients and 62% of pit picking patients at 5 years (p=0.0078; log rank test). Previous pilonidal surgeries, smoking, body mass index, immunodeficiency, and diabetes did not significantly influence the long-term recurrence rate. Primary open treatment was performed for 72% of female patients presenting with primary disease. Conclusions: Due to its especially dismal long-term results, pit picking should be abandoned, and Limberg flap should be promoted instead, even for primary disease and in females. (© 2022 Dietrich Doll et al., published by De Gruyter, Berlin/Boston.)
Databáze:	MEDLINE
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