From the Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
From the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Ann Saudi Med. 2021 May-Jun;41(3):179-185. doi: 10.5144/0256-4947.2021.179. Epub 2021 Jun 1.
Pilonidal sinus disease (PSD) is a chronic inflammatory disease of the sacrococcygeal area. Pilonidal sinus recurrence is a matter of concern to both patients and healthcare providers.
Estimate the rate of PSD recurrence in our center and identify any risk factors contributing to disease recurrence.
Retrospective.
Tertiary care center in Riyadh.
All patients who underwent surgery for primary or recurrent pilonidal sinus between 1 January 2016 to 30 June 2019 were included to allow for at least 1-year of follow-up at the time of data collection.
Recurrence rate of PSD and risk factors for recurrence.
369 patients: 329 males (89.2%) and 40 (10.8%) females. Median (interquartile range) age was 21 (18-26) years.
Of the 369 included patients, recurrence was identified in 84 (22.8%) cases [95% confidence interval (CI) 18.6-27.4], and the mean timing of recurrence was 1.8 (1.6) years after the primary surgery. In a multivariate logistic regression analysis, increased age and post-operative seroma fluid discharge were independent risk factors for recurrence. In contrast, preoperative antibiotic prophylaxis and postoperative hair removal were effective in reducing recurrence. Type of surgery closure had no effect on recurrence, yet primary closure was associated with early onset of recurrence compared to secondary closure (=.02).
Our findings on the factors associated with recurrence of PSD are consistent with many reports in the literature. Reported prevalence estimates vary widely.
Single center, small sample size, retrospective.
None.
藏毛窦疾病（PSD）是一种发生在尾骶区的慢性炎症性疾病。藏毛窦复发是患者和医疗保健提供者都关心的问题。
估计我们中心 PSD 的复发率，并确定导致疾病复发的任何危险因素。
回顾性研究。
利雅得的一家三级保健中心。
所有在 2016 年 1 月 1 日至 2019 年 6 月 30 日期间接受原发性或复发性藏毛窦手术的患者均被纳入研究，以便在数据收集时至少有 1 年的随访。
PSD 的复发率和复发的危险因素。
369 例患者：329 例男性（89.2%）和 40 例女性（10.8%）。中位（四分位间距）年龄为 21（18-26）岁。
在纳入的 369 例患者中，84 例（22.8%）患者复发[95%置信区间（CI）为 18.6-27.4%]，平均复发时间为初次手术后 1.8（1.6）年。在多变量逻辑回归分析中，年龄增加和术后血清肿液排出是复发的独立危险因素。相比之下，术前抗生素预防和术后毛发清除可有效降低复发率。手术缝合类型对复发无影响，但与二期缝合相比，一期缝合与复发的早期发生有关（=0.02）。
我们关于 PSD 复发相关因素的发现与文献中的许多报道一致。报道的患病率估计值差异很大。
单中心、小样本量、回顾性研究。
无。
