Doll, Dietrich; Petersen, Sven; Andreae, Octavia Alexandra; Matner, Hanne; Albrecht, Henning; Brügger, Lukas E; Luedi, Markus M; Puhl, Gero (2022). Pit picking vs. Limberg flap vs. primary open method to treat pilonidal sinus disease - A cohort of 327 consecutive patients. Innovative surgical sciences, 7(1), pp. 23-29. de Gruyter 10.1515/iss-2021-0041
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Background
Minimally invasive methods in pilonidal sinus disease (PSD) surgery are becoming standard. Although long-term results are available for some techniques, long-term outcome data of patients after pit picking is lacking. We aimed at investigating perioperative and long-term outcomes of patients undergoing pit picking, Limberg flap or primary open surgery to treat PSD.
Methods
In a single-centre observational study, we evaluated the outcomes of 327 consecutive patients undergoing PSD surgery between 2011 and 2020.
Results
PSD had recurred in 22% of Limberg flap patients and 62% of pit picking patients at 5 years (p=0.0078; log rank test). Previous pilonidal surgeries, smoking, body mass index, immunodeficiency, and diabetes did not significantly influence the long-term recurrence rate. Primary open treatment was performed for 72% of female patients presenting with primary disease.
Conclusions
Due to its especially dismal long-term results, pit picking should be abandoned, and Limberg flap should be promoted instead, even for primary disease and in females.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy > Partial clinic Insel 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery |
UniBE Contributor: |
Brügger, Lukas, Lüdi, Markus |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2364-7485 |
Publisher: |
de Gruyter |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
18 Aug 2022 11:26 |
Last Modified: |
05 Dec 2022 16:22 |
Publisher DOI: |
10.1515/iss-2021-0041 |
PubMed ID: |
35974777 |
Uncontrolled Keywords: |
Limberg flap long-term recurrence rate minimally invasive therapy pilonidal sinus pit picking |
BORIS DOI: |
10.48350/172159 |
URI: |
https://boris.unibe.ch/id/eprint/172159 |
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