„Pit-picking“-Operation bei Patienten mit Sinus pilonidalis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-06-28

AUTHORS

I. Iesalnieks, S. Deimel, H.J. Schlitt

ABSTRACT

BackgroundMinimally invasive procedures have increasingly been used to treat pilonidal disease; however, the mid-term and long-term results have not been evaluated extensively yet.Patients and methodsAll patients underwent “pit picking” surgery. The surgery was performed under local anesthesia. The technique of “pit picking” was: all midline pits were removed by excising a margin of skin of < 1 mm. An incision of 1 cm parallel to one side of the natal cleft opened the chronic abscess cavity. No specific postoperative wound care was given.ResultsA total of 153 patients (126 males) underwent “pit picking” surgery between June 2007 and November 2010. Follow-up information was available for 148 patients (97 %). Of the patients 74% had no recurrence after a median follow-up time of 30 months and 8 more patients (5 %) remained asymptomatic after a second“pit picking” procedure. By multivariate analysis, smoking (hazard ratio [HR] 2.1) and occurrence of an abscess during the course of disease (HR 2.7) were statistically significantly associated with the disease recurrence after “pit picking” surgery.ConclusionApproximately three quarters of selected patients with pilonidal disease benefit from minimally invasive “pit picking” surgery. More... »

PAGES

482-485

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00104-014-2776-0

DOI

http://dx.doi.org/10.1007/s00104-014-2776-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1001316311

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24969346


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