Ann Surg Treat Res.  2022 Oct;103(4):244-251. 10.4174/astr.2022.103.4.244.

Unroofing curettage for treatment of simple and complex sacrococcygeal pilonidal disease

Affiliations
  • 1Department of Surgery, University of Health Science, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
  • 2Department of Surgery, University of Health Science, Konya City Hospital, Konya, Turkey

Abstract

Purpose
Sacrococcygeal pilonidal disease is a chronic inflammatory condition with an incidence of 26:100,000 in the United States. However, its etiology and optimal treatment remain controversial.
Methods
We included 129 and 74 patients with simple and complex sacrococcygeal pilonidal disease, respectively. The primary outcome was pilonidal sinus recurrence after unroofing curettage. Secondary outcomes were pain scores, time to return to work/school, and time to complete recovery.
Results
At a median follow-up of 53 months, the recurrence rate was 4.9% in all patients, not significantly higher in subjects with the complex disease. Duration of surgery (15.4 minutes vs. 12.2 minutes), time to return to school/work (9.8 days vs. 7.7 days), and complete healing time (44 days vs. 36 days) were longer in patients with the complex disease. Postoperative complication rates, pain scores, and quality of life scores between the 2 groups did not differ.
Conclusion
Unroofing curettage may be a good first-choice treatment for both simple and complex sacrococcygeal pilonidal disease.

Keyword

Curettage; Pilonidal cyst; Pilonidal sinus; Recurrence; Wound healing

Figure

  • Fig. 1 Flow chart of patient selection. SPD, sacrococcygeal pilonidal disease.


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