SavedAdd your journal

Journals / Anatolian Current Medical Journal / 2026 / Volume: 3 Issue: 2

A comparative study between adolescent and adult patients with pilonidal sinus disease

Ömer Katı(Department of Pediatric Surgery, Necip Fazil City Hospital, Kahramanmaras, Turkey)0000-0001-6270-5696
Yaşar Kandur(Dr., Kırıkkale University,)0000-0002-8361-5558
Murat Kaya(Department of General Surgery, Necip Fazil City Hospital, Kahramanmaras, Turkey)
Ahmet Gökhan Güler(Department of Pediatric Surgery, Kahramanmaras Sutcu Imam University, Kahrmanmaras, Turkey)0000-0003-4740-3512
Tahir Dalkıran(Department of Pediatrics, Necip Fazil City Hospital, Kahramanmaras, Turkey)0000-0001-7064-8011
Pages
—
Publication Date
2021-04-24
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We believe that pediatric surgeons should increase their interest in treatment options of PS disease since its prevalence increases in pediatric age group especially in adolescents in recent years.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The main targets of the treatment modalities for pilonidal sinus are to prevent recurrences, and to increase the quality of life.
📊
Key Findings & Data:Material and Methods: This retrospective study was conducted at the Pediatric and General Surgical Department of Necip Fazil City Hospital, Kahramanmaras from 2013 to 2017.
💡
Conclusion & Impact:We believe that pediatric surgeons should increase their interest in treatment options of PS disease since its prevalence increases in pediatric age group especially in adolescents in recent years.
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:pilonidal sinus · flap · pediatric

Abstract

Objectives: The main targets of the treatment modalities for pilonidal sinus are to prevent recurrences, and to increase the quality of life. It is unknown whether there is a different treatment trend in pediatric patients as compared with adults. In this study, we aimed to evaluate the surgical methods in pediatric and adult patients with pilonidal sinus. Material and Methods: This retrospective study was conducted at the Pediatric and General Surgical Department of Necip Fazil City Hospital, Kahramanmaras from 2013 to 2017. A total of 66 pediatric patients and 68 adult patients were enrolled in this study. Results: The number of pediatric patients was significantly higher than adults in mean of Flap closure (21 (31.8%) vs 2 (2.9%), p=<0.01). However, primary closure was the most preferred method both in pediatric and adult patients, i.e. 45 (68.2%) pediatric patients and 63 (92.6%) adults. There was no significant difference between pediatric and adult patients with respect to mean recurrence rate (pediatric= 8(%12.1) vs adult =9 (%13.2) (p=0.527)). There was no recurrence in patients undergoing flap closure. Conclusion: The etiological factors in PS formation currently involve technological conditions leading to sedentary life and dietary habits causing obesity. We believe that pediatric surgeons should increase their interest in treatment options of PS disease since its prevalence increases in pediatric age group especially in adolescents in recent years.

🔖

Cite This Article

Katı, Ö., Kandur, Y., Kaya, M., Güler, A. G., Dalkıran, T. (2021). A comparative study between adolescent and adult patients with pilonidal sinus disease. Anatolian Current Medical Journal, Volume: 3 Issue: 2. https://doi.org/10.38053/acmj.868495

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (24)

  1. Shah A Waheed A, Malik A. Recurrence rates in pilonidal sinus surgery comparison of twotechniques (Karydak is versus conventional open excision). Pak J Med Health Sci 2009; 3: 41-8.
  2. McCallum I, King PM, Bruce J.Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev 2007; 17: CD006213
  3. Saydam M, Şahin M, Female sacrococcygeal pilonidal sinus features and EQ-5D life quality survey and body image survey results: a clinical study, Anatolian Curr Med J 2021; 3; 31-5
  4. Aldemir M, Kara IH, Erten G et al.Effectiveness of collagenase in thetreatment of sacrococcygeal pilonidal sinüs disease. Surg Today 2003; 33: 106–9.
  5. Chintapatla S, Safarani N, Kumar S et al. Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Tech Coloproctol 2003; 7: 3–8
  6. daSilva JH. Pilonidalcyst: cause and treatment. Dis Colon Rectum 2000; 43: 1146–56
  7. Rafi Y, Butt TM, Rehman HA, Rafiq K, Chaudhary AM. Pilonidal disease: a conservative approach to the problem. AnnKing Edward Med Uni 2001; 7: 83-4.
  8. Hegge HGJ Vos GA, Patka P, Hoitsma HF. Treatment of complicated or infected pilonidal sinüs disease by local application of phenol. Br J Surg 1987; 102: 52-4
  9. Mersh GA. Pilonidalsinus: finding the right tract for treatment. Br J Surg1990; 77: 123-32,
  10. Stephens FO, Stephens RB.Pilonidal sinus: management objectives. Aust N Z J Surg. 1995; 65: 558-60.
  11. Yildiz T, Elmas B, Yucak A, Turgut HT, Ilce Z. Risk factors for pilonidal sinus disease in teenagers. Indian J Pediatr.2017; 84: 134-8.
  12. Stites T, Lund DP. Common anorectal problems. Semin Pediatr Surg 2007;16:71–8
  13. Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Ajeet Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care. 2015; 4: 187–192.
  14. Harlak A, Menteş Ö, Kilic S, Coskun K, Duman A, Yılmaz F. Sacrococygeal pilonidal disease: analysis o previously proposed risk factors. Clinics 2010; 65: 125-31.
  15. Yılmaz M, Can MH, Sevinç MM, Yiğit G, Keskin Ö.Sacrococcygeal Pilonidal Disease is Associated with Increased Body Weight, High Body-Mass Index and Skin Color in Young Men. Kolon Rektum HastDerg 2008; 18: 14-20.
  16. Serour F, Somekh E, Krutman B, Gorenstein A.Excision with primary closure and suction drain age for pilonidal sinus in adolescent patients. Pediatr SurgInt2002; 18: 159–61.
  17. Ertan T, Koc M, Gocmen E, Aslar AK, Keskek M, Kilic M. Does technique alter quality of life afterpilonidal sinus surgery? Am J Surg2005; 190: 388-92.
  18. Muzi MG, Milito G, Nigro C, et al. A modification of primary closure for thetreatment of pilonidal disease in day-caresetting. ColorectalDis2009; 11: 84–8.
  19. Akca T, Colak T, Ustunsoy B, Kanik A, Aydin S. Randomized clinical trial comparing primary closure with the Limberg flap in the treatment of primary sacrococcygeal pilonidal disease. Br J Surg. 2005; 92: 1081-4.
  20. Shabbir F, Ayyaz M, Farooka MW, Toor AA, Sarwar H, Malik AA. Modified Limberg’s flap versus primary closure for treatment of pilonidal sinüs disease: A comparative study. 2014;. 64: 1270-3.
  21. Braungart S, Powis M, Sutcliffe JR, Sugarman ID. Improving outcomes in pilonidal sinus disease. J Pediatr Surg 2016; 51:282-4.
  22. Saydam M, Şahin M, Female sacrococcygeal pilonidal sinus features and EQ-5D life quality survey and body image survey results: a clinical study, Anatolian Curr Med J 2021; 3; 31-5
  23. Harlak A, Menteş Ö, Kilic S, Coskun K, Duman A, Yılmaz F. Sacrococygeal pilonidal disease: analysis o previously proposed risk factors. Clinics 2010; 65: 125-31.
  24. Yılmaz M, Can MH, Sevinç MM, Yiğit G, Keskin Ö.Sacrococcygeal Pilonidal Disease is Associated with Increased Body Weight, High Body-Mass Index and Skin Color in Young Men. Kolon Rektum HastDerg 2008; 18: 14-20.