D-shape asymmetric and symmetric excision with primary closure in the treatment of sacrococcygeal pilonidal disease - 30/05/14
, Luigi Brusciano, M.D., Ph.D., Crescenzo Di Stazio, M.D., Gianmattia del Genio, M.D., Ph.D., Salvatore Tolone, M.D., Francesco S. Lucido, M.D., Vincenzo Amoroso, M.D., Antonio D'Alessandro, M.D., Giovanni Docimo, M.D., Ph.D., Ludovico Docimo, M.D., Ph.D.Abstract |
Background |
Off-midline closure after excision and primary closure in the treatment of sacrococcygeal pilonidal disease has been suggested to improve surgical outcomes and reduce median recurrence rate. The aim of this study was to investigate several features known to be related to recurrence, allowing adequate comparison of recurrence between D-shaped asymmetric and symmetric excision in the treatment of sacrococcygeal pilonidal disease.
Methods |
An analysis of a prospectively maintained database of 569 surgical excisions performed for sacrococcygeal pilonidal disease between 1988 and 2007 was performed.
Results |
The recurrence rate was lower in the asymmetric (n = 423) than in the symmetric (n = 101) group (9% vs 22.0%, P = .0001). After a median follow-up period of 11 years, 5-year 10-year, and 20-year disease-free survival rates were higher in the asymmetric group (94%, 92%, and 89% vs 84%, 79%, and 71%, respectively, P = .005).
Conclusions |
D-shaped asymmetric excision is an effective treatment of sacrococcygeal pilonidal sinus. Better long-term recurrence rates are achieved compared with symmetric excision, when stratified for several features known to be related to recurrence.
Le texte complet de cet article est disponible en PDF.Keywords : Sacrococcygeal pilonidal disease, D-shaped asymmetric excision, Symmetric excision
Plan
| Drs Limongelli and Brusciano contributed equally to this work. |
|
| The authors declare no conflicts of interest. |
Vol 207 - N° 6
P. 882-889 - juin 2014 Retour au numéro
Article précédent
- The better effect of Roux-en-Y gastrointestinal reconstruction on blood glucose of nonobese type 2 diabetes mellitus patients
- Weijie Chen, Zhibo Yan, Shaozhuang Liu, Guangyong Zhang, Dong Sun, Sanyuan Hu
- Trends in surgical results of hepatic resection for hepatocellular carcinoma: 1,000 consecutive cases over 20 years in a single institution
- Yo-ichi Yamashita, Eiji Tsuijita, Kazuki Takeishi, Teruyoshi Ishida, Toru Ikegami, Takuhiro Ezaki, Takashi Maeda, Tohru Utsunomiya, Naofumi Nagasue, Ken Shirabe, Yoshihiko Maehara
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?