Ospedali Riuniti Marche Nord, Pesaro, Italy.
San Camillo - Forlanini Hospital, Rome, Italy.
World J Surg. 2020 Apr;44(4):1086-1090. doi: 10.1007/s00268-019-05313-3.
The aim of this study was to report on the application of a minimally invasive technique to the radical extirpation of primary and recurrent pilonidal disease. This technique does not require specific equipments, is ordinarily performed under local anesthesia on an outpatient basis, and provides optimal cosmetic results.
A total of 187 patients including 68% of patients with previous pilonidal surgery and 12% cases of extensive disease underwent surgery as day case. The series was thus reviewed in terms of perioperative data, time off daily activities, time to complete wound healing, and recurrence.
Overall, the incidence of postoperative complications was 9%, with 2% being the relative rate of >grade I complications. The median time off school/work was of 2 days, while the median time to complete wound healing was 35 days. At a median follow-up of 16 months, the overall rate of disease recurrence was 5, 6%.
This analysis demonstrates that minimally invasive pilonidal excision is an effective option for pilonidal disease, also in the case of recalcitrant or extensive disease.
本研究旨在报告一种微创技术在原发性和复发性藏毛疾病根治性切除中的应用。该技术不需要特定设备，通常在局麻下于门诊进行，可获得最佳美容效果。
共有 187 例患者，包括 68%的既往藏毛窦手术患者和 12%的广泛疾病患者，均作为日间手术病例接受手术。本研究回顾了围手术期数据、日常活动中断时间、伤口愈合时间和复发情况。
总体而言，术后并发症发生率为 9%，其中>Ⅰ级并发症的相对发生率为 2%。平均休学/停工时间为 2 天，平均伤口愈合时间为 35 天。在 16 个月的中位随访中，疾病总复发率为 5.6%。
该分析表明，微创藏毛窦切除术是藏毛疾病的有效治疗选择，包括难治性或广泛疾病。
