Ömer KATI, Yaşar KANDUR, Murat KAYA, Ahmet Gökhan GÜLER, Tahir DALKIRAN

A comparative study between adolescent and adult patients with pilonidal sinus disease

Objectives: The main targets of the treatment modalities for pilonidal sinus are to prevent recurrences, and to increase the quality of life. It is unknown whether there is a different treatment trend in pediatric patients as compared with adults. In this study, we aimed to evaluate the surgical methods in pediatric and adult patients with pilonidal sinus. Material and Methods: This retrospective study was conducted at the Pediatric and General Surgical Department of Necip Fazil City Hospital, Kahramanmaras from 2013 to 2017. A total of 66 pediatric patients and 68 adult patients were enrolled in this study. Results: The number of pediatric patients was significantly higher than adults in mean of Flap closure (21 (31.8%) vs 2 (2.9%), p=

Keywords:

pilonidal sinus, flap, pediatric, adult,

PDF

___

Shah A Waheed A, Malik A. Recurrence rates in pilonidal sinus surgery comparison of twotechniques (Karydak is versus conventional open excision). Pak J Med Health Sci 2009; 3: 41-8.
McCallum I, King PM, Bruce J.Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev 2007; 17: CD006213
Saydam M , Şahin M, Female sacrococcygeal pilonidal sinus features and EQ-5D life quality survey and body image survey results: a clinical study, Anatolian Curr Med J 2021; 3; 31-5
Aldemir M, Kara IH, Erten G et al.Effectiveness of collagenase in thetreatment of sacrococcygeal pilonidal sinüs disease. Surg Today 2003; 33: 106–9.
Chintapatla S, Safarani N, Kumar S et al. Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Tech Coloproctol 2003; 7: 3–8
daSilva JH. Pilonidalcyst: cause and treatment. Dis Colon Rectum 2000; 43: 1146–56
Rafi Y, Butt TM, Rehman HA, Rafiq K, Chaudhary AM. Pilonidal disease: a conservative approach to the problem. AnnKing Edward Med Uni 2001; 7: 83-4.
Hegge HGJ Vos GA, Patka P, Hoitsma HF. Treatment of complicated or infected pilonidal sinüs disease by local application of phenol. Br J Surg 1987; 102: 52-4
Mersh GA. Pilonidalsinus: finding the right tract for treatment. Br J Surg1990; 77: 123-32,
Stephens FO, Stephens RB.Pilonidal sinus: management objectives. Aust N Z J Surg. 1995; 65: 558-60.
Yildiz T, Elmas B, Yucak A, Turgut HT, Ilce Z. Risk factors for pilonidal sinus disease in teenagers. Indian J Pediatr.2017; 84: 134-8.
Stites T, Lund DP. Common anorectal problems. Semin Pediatr Surg 2007;16:71–8
Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Ajeet Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care. 2015; 4: 187–192.
Harlak A, Menteş Ö, Kilic S, Coskun K, Duman A, Yılmaz F. Sacrococygeal pilonidal disease: analysis o previously proposed risk factors. Clinics 2010; 65 : 125-31.
Yılmaz M, Can MH, Sevinç MM, Yiğit G, Keskin Ö.Sacrococcygeal Pilonidal Disease is Associated with Increased Body Weight, High Body-Mass Index and Skin Color in Young Men. Kolon Rektum HastDerg 2008; 18 : 14-20.
Serour F, Somekh E, Krutman B, Gorenstein A.Excision with primary closure and suction drain age for pilonidal sinus in adolescent patients. Pediatr SurgInt2002; 18: 159–61.
Ertan T, Koc M, Gocmen E, Aslar AK, Keskek M, Kilic M. Does technique alter quality of life afterpilonidal sinus surgery? Am J Surg2005; 190: 388-92.
Muzi MG, Milito G, Nigro C, et al. A modification of primary closure for thetreatment of pilonidal disease in day-caresetting. ColorectalDis2009; 11: 84–8.
Akca T, Colak T, Ustunsoy B, Kanik A, Aydin S. Randomized clinical trial comparing primary closure with the Limberg flap in the treatment of primary sacrococcygeal pilonidal disease. Br J Surg. 2005; 92: 1081-4.
Shabbir F, Ayyaz M, Farooka MW, Toor AA, Sarwar H, Malik AA. Modified Limberg’s flap versus primary closure for treatment of pilonidal sinüs disease: A comparative study. 2014;. 64: 1270-3.
Braungart S, Powis M, Sutcliffe JR, Sugarman ID. Improving outcomes in pilonidal sinus disease. J Pediatr Surg 2016; 51:282-4.