[Retrospective study 10 years after plastic surgery for sacrococcygeal pilonidal sinus]

Area of Science:

• Surgical pathology
• Proctology
• Dermatology

Context:

• Pilonidal sinus disease is a common condition affecting the sacrococcygeal region.
• Distinguishing between congenital cysts and acquired pilonidal sinus is crucial for appropriate management.
• Surgical outcomes for pilonidal sinus require long-term evaluation.

Purpose:

• To summarize the etiology and pathomechanism of sacrococcygeal pilonidal sinus.
• To differentiate congenital cystic deformities from acquired pilonidal sinus.
• To evaluate the surgical outcomes and recurrence rates of a specific surgical method over a ten-year period.

Summary:

• The authors present a ten-year surgical experience (1976-1985) with 208 patients operated on for sacrococcygeal pilonidal sinus.
• The study distinguishes congenital dermoid cysts from acquired pilonidal sinus, classifying the latter as an adventitious illness.
• A single early recurrence and a 7.2% rate of recovery via secondary healing were observed. Delayed recurrences were assessed via questionnaires, with only three male patients reporting issues.

Impact:

• This research contributes to understanding the surgical management of pilonidal sinus disease.
• The findings highlight a low recurrence rate, suggesting the efficacy of the described surgical technique.
• Long-term follow-up data provides valuable insights into patient recovery and potential delayed complications.