Gabriela Tonia Fahrni1, Raphael Nicolas Vuille-Dit-Bille2, Svenja Leu3, Martin Meuli4, Ralph Fabian Staerkle5, Lukas Fink6, Selim Dinçler1, Brigitte Susanne Muff1. 1. Department of Surgery, Hospital Bülach, Zürich, Switzerland. 2. Department of Surgery, Hospital Bülach, Zürich, Switzerland and Department of Pediatric Surgery, University Children's Hospital of Zurich, Zürich, Switzerland. 3. University of Zurich, Zürich, Switzerland. 4. Department of Pediatric Surgery, University Children's Hospital of Zurich, Zürich, Switzerland. 5. Department of Surgery, Clinic for Visceral and Thoracic Surgery, Hospital Winterthur, Switzerland. 6. Mathematic faculty, Cantonal School of Wil, St. Gallen, Switzerland.
Abstract
OBJECTIVE: The aim of the present study was to investigate the outcomes of different treatment options for acute and chronic pilonidal disease in a single large cohort of patients. MATERIALS AND METHODS: Four hundred and twenty-one consecutive patients (171 with chronic disease and 250 with acute abscess formation) who underwent surgery between 2003 and 2012 were included in the present study. Primary outcomes included symptomatic recurrence, time to wound healing, and time off from work. The median follow-up was 5.3 years. RESULTS: In patients with acute abscess formation, the relapse rate was significantly higher (P = 0.0001) if they were treated with abscess excision (38.9%) compared with a wide local excision (13.3%). Time to relapse was significantly longer (P = 0.0205) in patients treated with wide local excision (median 7 vs 3 months), whereas time to wound healing and the days off from work were similar among groups. In chronic disease, the relapse rate was similar in patients treated with wide local excision followed by secondary wound healing (11.3%) when compared with patients treated with limited excision (27.6%) or wide excision with primary wound closure (26.8%). The time to wound healing was shortest in patients with primary wound closure following wide local excision, and the time off from work was not significantly different between groups. CONCLUSION: Wide local excision with secondary wound healing seems to be the favorable operation method for acute and chronic pilonidal disease.
OBJECTIVE: The aim of the present study was to investigate the outcomes of different treatment options for acute and chronic pilonidal disease in a single large cohort of patients. MATERIALS AND METHODS: Four hundred and twenty-one consecutive patients (171 with chronic disease and 250 with acute abscess formation) who underwent surgery between 2003 and 2012 were included in the present study. Primary outcomes included symptomatic recurrence, time to wound healing, and time off from work. The median follow-up was 5.3 years. RESULTS: In patients with acute abscess formation, the relapse rate was significantly higher (P = 0.0001) if they were treated with abscess excision (38.9%) compared with a wide local excision (13.3%). Time to relapse was significantly longer (P = 0.0205) in patients treated with wide local excision (median 7 vs 3 months), whereas time to wound healing and the days off from work were similar among groups. In chronic disease, the relapse rate was similar in patients treated with wide local excision followed by secondary wound healing (11.3%) when compared with patients treated with limited excision (27.6%) or wide excision with primary wound closure (26.8%). The time to wound healing was shortest in patients with primary wound closure following wide local excision, and the time off from work was not significantly different between groups. CONCLUSION: Wide local excision with secondary wound healing seems to be the favorable operation method for acute and chronic pilonidal disease.
Authors: V K Stauffer; M M Luedi; P Kauf; M Schmid; M Diekmann; K Wieferich; B Schnüriger; D Doll Journal: Sci Rep Date: 2018-02-15 Impact factor: 4.379
Authors: Tenzin Lamdark; Raphael Nicolas Vuille-Dit-Bille; Isabella Naomi Bielicki; Laura C Guglielmetti; Rashikh A Choudhury; Nora Peters; Dietrich Doll; Markus M Luedi; Michel Adamina Journal: Medicina (Kaunas) Date: 2020-07-09 Impact factor: 2.430
Authors: Dietrich Doll; Andriu Orlik; Katharina Maier; Peter Kauf; Marco Schmid; Maja Diekmann; Andreas P Vogt; Verena K Stauffer; Markus M Luedi Journal: Sci Rep Date: 2019-10-22 Impact factor: 4.379
Authors: Peter C Minneci; Devin R Halleran; Amy E Lawrence; Beth A Fischer; Jennifer N Cooper; Katherine J Deans Journal: Trials Date: 2018-11-01 Impact factor: 2.279