UNROOFING AND CURRETAGE IS AN EFFECTIVE TREATMENT METHOD IN PATIENTS WITH PILONIDAL SINUS DISEASE

  • DR BULENT KAYA
  • DR MAHIR FERSAHOGLU
  • DR ANIL ERGIN
  • DR NURIYE ESEN BULUT
Keywords: Pilonidal sinus, unroofing, curretage, recurrence

Abstract

Purpose:Pilonidal sinus is a chronic disease with important morbidity.There is no gold standart treatment up to date.The aim of this study is to report results of unroofing and curettage technique in pilonidal sinus surgery.

Material and Methods:The data of patients who were operated with unroofing and curettage technique were collected retrospectively. Patients' age, gender, body mass index (BMI), duration of  symptoms,  presence of abscess in preoperative period, antibiotic usage and drainage, operation findings,  postoperative complications, wound healing time, recurrences were recorded. NCSS (Number Cruncher Statistical System) 2007 (Kaysville, Utah, USA) program was used for statistical analysis.

Results: A total of 172 patients who underwent unroofing and curretage during  3 years period  were studied retrospectively. There were 146 (84.9%)   male and 26 (15.1%)    female patients. The mean operation time  was 18.52 ± 12.49 minutes (5-90 min).  Postoperative infection rate was 2.9% (n = 5) and bleeding rate was 1.7% (n = 3). Recurrence was found in 13 of the patients (7.6% ).  Return to work was ranged from 0 to 90 days with an average of 14.41 ± 13.10 days.

Conclusion: Unroofing and curettage technique can be used under local anesthesia with outpatient basis. It  can be prefered as a first line treatment modality in pilonidal sinus surgery.

Downloads

Download data is not yet available.

Author Biographies

DR BULENT KAYA

S.B.U Haydarpasa Numune Training And Research Hospital

Department of General Surgery Istanbul/Turkey

DR MAHIR FERSAHOGLU

S.B.U F.S.M   TRAINING AND RESEARCH HOSPITAL/DEPARTMENT OF GENERAL SURGERY

DR ANIL ERGIN

S.B.U F.S.M   TRAINING AND RESEARCH HOSPITAL/DEPARTMENT OF GENERAL SURGERY

DR NURIYE ESEN BULUT

S.B.U F.S.M   TRAINING AND RESEARCH HOSPITAL/DEPARTMENT OF GENERAL SURGERY

References

1- Duman K, Gırgın M, Harlak A. Prevalence of sacrococcygeal pilonidal disease in

Turkey. Asian J Surg. 2017 ;40:434-437.

2- Hodges RM. Pilonidal sinus. Boston Med Surg J. 1880; 103: 485-486.

3-McCallum IJD, King PM, Bruce J. Healing by primary closure versus open healing after surgery

for pilonidal sinus: systematic review and meta-analysis. BMJ. 2008;336: 868–871.

4-Søndenaa K, Anderson E, Soreide JA. Morbidity and shortterm results in a randomised controlled

trial of open compared to closed treatment of chronic pilonidal sinus. Eur J Surg 1992;158:351–355.

5-Doll D, Matevossian E, Wietelmann K, Evers T, Kriner M, Petersen S. Family history of pilonidal

sinus predisposes to earlier onset of disease and a 50% long-term recurrence rate. Dis Colon Rectum

2009;52:1610–1615.

6) Mayo O. Observations on injuries and diseases of the rectum. London: Burgess and Hill, 1833

7) Franckowiak JJ, Jackman RJ. The etiology of pilonidal sinus. Dis Colon Rectum.1962; 5:28–36.

8) Allen-Mersh TG. Pilonidal sinus: finding the right track for treatment. Br J Surg. 1990;77:123-132.

9) Karydakis GE. New approach to the problem of pilonidal sinus. Lancet. 1973;22:1414-5.

10) Søndenaa K, Pollard ML. Histology of chronic pilonidal sinus. APMIS 1995;103:267–272.

11) Lorant T, Ribbe I, Mahteme H, Gustafsson UM, Graf W. Sinus excision and primary closure

versus laying open in pilonidal disease: a prospective randomized trial. Dis Colon Rectum 2011;

54:300–305.

12) Gencosmanoglu R, Inceoglu R. Modified lay-open (incision, curettage, partial lateral wall excision

and marsupialization) versus total excision with primary closure in the treatment of

chronic sacrococcygeal pilonidal sinus: a prospective, randomized clinical trial with a complete two-

year follow-up. Int J Colorectal Dis 2005;20:415–422.

13) Perruchoud C, Vuilleumier H, Givel JC. Pilonidal sinus: how to choose between excision and

open granulation versus excision and primary closure? Study of a series of 141 patients operated on

from 1991 to 1995. Swiss Surg 2002; 8: 255-258.

14) Chiedozi LC, Al-Rayyes FA, Salem MM, Al-Haddi FH, Al-Bidewi AA.Management of pilonidal

sinus. Saudi Med J 2002; 23: 786-788.

15) Aydede H, Erhan Y, Sakarya A, Kumkumoglu. Comparison of three methods in

surgical treatment of pilonidal disease. Aust N Z J Surg 2001; 71: 362-364.

16) Miocinovic M, Horzic M, Bunoza D. The treatment of pilonidal disease of the

sacrococcygeal region by the method of limited excision and open wound healing. Acta Med Croatica

2000;54: 27-31.

17) Zieger K. Complications after surgery for pilonidal cyst. An introduction to a

new debate on a "costly" disease. Ugeskr Laeger 1999; 161: 6056-6058.

18) Lee HC, Ho YH, Seow CF, Eu KW, Nyam D. Pilonidal disease in Singapore:

clinical features and management. Aust N Z J Surg 2000; 70: 196-198.

19) Destito C, Romagnoli A, Pucello D, Mercuri M, Marin AW. Pilonidal sinus:

long term results of excision and closure technic. Review of the literature. G Chir 1997; 18: 441-446.

20-Lorant T, Ribbe I, Mahteme H, Gustafsson UM, Graf W. Sinus excision and primary closure

versus laying open in pilonidal disease: a prospective randomized trial. Dis Colon Rectum.

2011;54:300–305.

21- Kepenekci I, Demirkan A, Celasin H, Gecim IE. Unroofing and curettage for the treatment of

acute and chronic pilonidal disease. World J Surg. 2010;34:153–157.

22-Garg P, Garg M, Gupta V, Mehta SK, Lakhtaria P. Laying open (deroofing) and

curettage under local anesthesia for pilonidal disease: An outpatient procedure.

World J Gastrointest Surg. 2015.27;7:214-8.
Published
2019-03-07
How to Cite
KAYA, D. B., FERSAHOGLU, D. M., ERGIN, D. A., & BULUT, D. N. E. (2019). UNROOFING AND CURRETAGE IS AN EFFECTIVE TREATMENT METHOD IN PATIENTS WITH PILONIDAL SINUS DISEASE. IJRDO - Journal of Health Sciences and Nursing (ISSN: 2456-298X), 4(3), 01-17. Retrieved from https://ijrdo.org/index.php/hsn/article/view/2733