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Pilonidal sinus disease recurrence at a tertiary care center in Riyadh
Ibrahim Tawfiq Albabtain1, Abdullah Alkhaldi2, Lama Aldosari2
1From the Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Annals of Saudi Medicine
|June 4, 2021
Summary
Pilonidal sinus disease recurrence affects over 22% of patients, with increased age and seroma fluid discharge as key risk factors. Preoperative antibiotics and postoperative hair removal can reduce recurrence rates.
Area of Science:
- Surgical outcomes
- Inflammatory diseases
Background:
- Pilonidal sinus disease (PSD) is a chronic sacrococcygeal inflammatory condition.
- Recurrence of PSD is a significant concern for patients and healthcare providers.
Purpose of the Study:
- To estimate the recurrence rate of Pilonidal Sinus Disease (PSD) at a tertiary care center.
- To identify risk factors associated with PSD recurrence.
Main Methods:
- Retrospective study conducted at a tertiary care center in Riyadh.
- Included 369 patients who underwent surgery for PSD between January 2016 and June 2019.
- Analyzed recurrence rates and associated risk factors, with at least one year of follow-up.
Main Results:
- The recurrence rate of PSD was 22.8% (84 out of 369 patients).
- Independent risk factors for recurrence included increased age and post-operative seroma fluid discharge.
- Preoperative antibiotic prophylaxis and postoperative hair removal were found to be effective in reducing recurrence.
Conclusions:
- Findings on PSD recurrence factors align with existing literature.
- While primary closure was associated with earlier recurrence than secondary closure, surgical closure type did not significantly affect overall recurrence.
- The study highlights the importance of specific preventative measures in managing PSD recurrence.