Abstract：
BACKGROUND:Pilonidal disease is a common condition among young people. Complicated pilonidal surgical wounds are associated with considerable morbidity, including chronic sacral wound, loss of work time, and lifestyle limitation. The aim of our study is to report our experience with Karydakis procedure and explore the risk factors associated with infection and poor healing in pilonidal operation. STUDY DESIGN:A 3-year experience of a Joint-Commission International accredited tertiary center in patients with pilonidal sinus operations is reported. We retrospectively reviewed the charts of unselected patients with pilonidal sinus who underwent excision and primary closure on elective basis in terms of wound healing, surgical site infection, and return to work. Variables predictive of surgical site infection and disruption were assessed by multiple logistic analyses. RESULTS:From January 2004 to December 2006, 94 patients with pilonidal disease underwent excision and primary closure on elective basis. Incidence of surgical site infection was 12.8%. No recurrence was observed after median followup of 6 months, with interquartile range of 4 to 9 months. Smoking (p = 0.027) and obesity (p = 0.047) were independent risk factors for wound infections. CONCLUSIONS:Excision and primary closure is an acceptable modality of treatment in nonobese and nonsmoker patients with pilonidal sinus disease. Infection rate in obese patients and smokers is unacceptably high, and active preoperative weight loss and smoking cessation or simple laid open procedure is recommended in these patients.
journal_name
J Am Coll Surgjournal_title
Journal of the American College of Surgeonsauthors
Al-Khayat H,Al-Khayat H,Sadeq A,Groof A,Haider HH,Hayati H,Shamsah A,Zarka ZA,Al-Hajj H,Al-Momen Adoi
10.1016/j.jamcollsurg.2007.04.034subject
Has Abstractpub_date
2007-09-01 00:00:00pages
439-44issue
3eissn
1072-7515issn
1879-1190pii
S1072-7515(07)00569-8journal_volume
205pub_type
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