Kement Metin, Oncel Mustafa, Kurt Necmi, Kaptanoglu Levent
General Surgery Department, Kartal Education and Research Hospital, Istanbul, Turkey.
Dis Colon Rectum. 2006 Nov;49(11):1758-62. doi: 10.1007/s10350-006-0676-1.
We have previously introduced a minimally invasive technique for the treatment of limited pilonidal disease. In this paper, the results for patients who had at least one year of follow-up are provided.
All patients operated with the sinus excision technique were studied retrospectively and those who had a follow-up period shorter than 12 months were excluded. Demographics, perioperative and postoperative data, and patient satisfaction scores were obtained from a prospectively designed database. Limited pilonidal disease was defined as disease presenting with less than four visible pits.
Sixty-two patients (56 males, 90.3 percent; mean age, 25.8 +/- 10.4 years) were included in the study. Patients returned to work in 1.9 +/- 0.7 days, and the mean healing period was 43 +/- 10.4 days. All procedures were performed under local anesthesia, and the mean operation time was 9.7 +/- 3.4 minutes. The number of outpatient procedures was 45 (72.6 percent). One patient suffered from a minor complication (bleeding that was stopped with electrocauterization; n = 1, 1.6 percent) and recurrence was observed in another case (n = 1, 1.6 percent). Patients received a satisfaction questionnaire, which revealed that 34 patients (54.8 percent) were "completely satisfied with the procedure" and 49 (79 percent) would "absolutely recommend the technique to other patients."
Sinus excision is an advisable technique for the treatment of limited pilonidal disease, because it can be performed under local anesthesia mostly as an outpatient procedure and the operation time is extremely short. Although the healing period is long, the off-work period is short, and patients are generally satisfied with the procedure. After a medium-term follow-up, the complication and recurrence rates are acceptable. We believe that sinus excision technique is a simple and effective method for the treatment of limited pilonidal disease.
我们之前介绍了一种治疗局限性藏毛疾病的微创技术。本文提供了至少随访一年的患者的治疗结果。
对所有采用窦道切除术的患者进行回顾性研究，排除随访期短于12个月的患者。人口统计学、围手术期和术后数据以及患者满意度评分来自一个前瞻性设计的数据库。局限性藏毛疾病定义为可见凹坑少于四个的疾病。
62例患者（56例男性，占90.3%；平均年龄25.8±10.4岁）纳入研究。患者在1.9±0.7天恢复工作，平均愈合期为43±10.4天。所有手术均在局部麻醉下进行，平均手术时间为9.7±3.4分钟。门诊手术有45例（占72.6%）。1例患者出现轻微并发症（电灼止血；n = 1，1.6%），另1例出现复发（n = 1，1.6%）。患者接受了满意度问卷调查，结果显示34例患者（54.8%）“对手术完全满意”，49例（79%）“肯定会向其他患者推荐该技术”。
窦道切除术是治疗局限性藏毛疾病的一种可取技术，因为它大多可在局部麻醉下作为门诊手术进行，且手术时间极短。虽然愈合期较长，但误工时间短，患者总体对手术满意。经过中期随访，并发症和复发率是可以接受的。我们认为窦道切除术是治疗局限性藏毛疾病的一种简单有效的方法。
