Department of General Surgery, Gulhane Education and Research Hospital, 06180, Ankara, Turkey.
Department of General Surgery, Bezmialem Vakıf University School of Medicine, 34000, Istanbul, Turkey.
Int J Colorectal Dis. 2020 Jun;35(6):1117-1124. doi: 10.1007/s00384-020-03575-1. Epub 2020 Apr 4.
Various surgical procedures are available for the treatment of pilonidal sinus diseases (PSD), but the best surgical approach remains controversial. Minimally invasive surgical procedures are more popular than surgery. This study aimed to evaluate the efficacy of sinusectomy with primary closure (SPC) in comparison with excision and primary closure (EPC) in primary or recurrent cases.
This single-center retrospective cohort study was conducted with two cohort groups in which 351 patients with PSD underwent either SPC or EPC. The two procedures were compared according to the presence of short-term complications and recurrence of PSD.
Of the patients, 134 underwent EPC and 217 underwent SPC. The length of stay and the wound healing time were significantly longer in the EPC group than in the SPC group. The occurrence rates of wound site infection and abscess were significantly higher in the EPC group than in the SPC group; however, seroma was statistically significantly more common in the SPC group than in the EPC group. The recurrence rates were 18.7% and 5.5% in the EPC and SPC groups, respectively.
SPC is an efficient procedure for the treatment of patients with PSD showing simple and complicated disease patterns.
各种手术方法可用于治疗藏毛窦疾病（PSD），但最佳手术方法仍存在争议。微创手术比手术更受欢迎。本研究旨在评估经皮窦道切除术（SPC）与切除和一期缝合术（EPC）治疗原发性或复发性 PSD 的疗效。
这是一项单中心回顾性队列研究，将 351 例 PSD 患者分为两组，分别行 SPC 或 EPC。根据短期并发症和 PSD 复发的情况比较两种手术方法。
EPC 组 134 例，SPC 组 217 例。EPC 组的住院时间和伤口愈合时间明显长于 SPC 组。EPC 组的伤口部位感染和脓肿发生率明显高于 SPC 组；然而，SPC 组的血清肿发生率明显高于 EPC 组。EPC 组和 SPC 组的复发率分别为 18.7%和 5.5%。
SPC 是治疗 PSD 患者的有效方法，可用于治疗单纯和复杂疾病。
