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Related Experiment Videos

Surgery for pilonidal disease.

T Hølmebakk1, A Nesbakken

  • 1Department of Gastroenterological Surgery, Aker University Hospital, Oslo, Norway. toto.holmebakk@radiumhospitalet.no

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|May 4, 2005
PubMed
Summary
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Pilonidal disease surgery outcomes are modest, with high recurrence rates and poor cosmetic results across multiple procedures. Further research comparing surgical versus conservative management is recommended.

Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes Research

Background:

  • Pilonidal disease surgery often results in complications, recurrence, and unsatisfactory cosmetic outcomes.
  • Evaluating different surgical techniques is crucial for improving patient results.

Purpose of the Study:

  • To assess the outcomes of four distinct surgical procedures for pilonidal disease.
  • To compare recurrence rates, infection rates, and cosmetic satisfaction among the evaluated surgical methods.

Main Methods:

  • Retrospective analysis of 73 procedures performed between 1999 and 2002.
  • Data collection included infection rates, recurrence rates, and patient-reported cosmetic satisfaction using visual analogue scales.

Main Results:

  • The lay-open technique showed the highest recurrence rate (56%), while excision with granulation had the lowest (11%).

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  • Infection rates were similar between rhomboid plasty (40%) and excision with primary suture (43%).
  • Overall cosmetic satisfaction was low, with only 42% of patients reporting satisfactory results and 30% reporting poor results.

    • Conclusions:

    • Surgical interventions for pilonidal disease yield modest results with significant recurrence and cosmetic concerns.
    • A randomized trial comparing surgical interventions with conservative management is warranted to guide treatment decisions.