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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
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Published on: March 27, 2026

Experience with pilonidal disease in children.

Frankie B Fike1, Vincent E Mortellaro, David Juang

  • 1Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri 64108, USA.

The Journal of Surgical Research
|April 8, 2011
PubMed
Summary
This summary is machine-generated.

Pediatric pilonidal disease management is complex. Primary closure of surgical wounds shows better outcomes than secondary healing, with no clear advantage of flap closures over midline closures in early results.

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Area of Science:

  • Pediatric Surgery
  • Surgical Outcomes
  • Pilonidal Disease Management

Background:

  • Pilonidal disease in children presents management challenges with high recurrence rates.
  • Various surgical techniques exist, but pediatric literature is limited.
  • This study reviews institutional experience to understand intervention effects on disease progression.

Purpose of the Study:

  • To evaluate the impact of different surgical interventions on pediatric pilonidal disease outcomes.
  • To compare primary closure versus secondary healing and flap versus midline closure techniques.

Main Methods:

  • Retrospective review of 120 pediatric patients undergoing surgery for pilonidal disease (2000-2010).
  • Data collected included demographics, surgical procedure, wound complications, infection, recurrence, and hospital stay.
  • Patients were grouped by wound closure status: closed (midline or flap) versus open (secondary healing).

Main Results:

  • Wound breakdown occurred in 45% of closed-group patients; no difference between midline and flap closure.
  • Recurrence rates were similar between primary closure (20.6%) and open (25%) groups.
  • Open-healing patients required more follow-up visits and operative procedures compared to closed-healing patients.

Conclusions:

  • Surgical management of pediatric pilonidal disease is complex, with potential for wound breakdown, infection, and recurrence.
  • Primary wound closure appears to yield better outcomes than secondary healing.
  • Early data suggest no significant advantage of flap closure over standard primary closure.