RADICAL VERSUS CONSERVATIVE METHODS IN ONE-STAGE PILONIDAL ABSCESS SURGERY: THE EXPERIENCE OF A TUNISIAN CENTER

Author:

Mahjoubi Mohamed Fares1ORCID,Ben-Latifa Mehdi2ORCID,Karoui Yasser1ORCID,Rezgui Bochra1ORCID,Ben-Belaid Amel3ORCID,Essid Nada1ORCID,Ben-Ali Ali2ORCID,Ben-Moussa Mounir1ORCID

Affiliation:

1. Charles Nicolle Hospital, Tunisia; University Tunis El Manar, Tunisia

2. Sahloul Hospital, Tunisia; University of Sousse, Tunisia

3. University Tunis El Manar, Tunisia; Regional Hospital of Jendouba, Tunisia

Abstract

ABSTRACT BACKGROUND: Surgical treatment for pilonidal abscess is the gold standard, but not yet well codified. Different techniques proposed can be conservative or radical. AIMS: The aim of our study was to compare postoperative outcomes of both methods in one-stage treatment strategy. METHODS: This is a comparative study including patients operated on for pilonidal abscess, with a satisfactory postoperative follow-up, over a period of 4 years. We looked for the occurrence of postoperative recurrence in the medical records or by interviewing reachable patients. RESULTS: We analyzed 57 patients: 33 males and 24 females. The mean age was 26.9±10 years. The type of operation was excision in 46 (81%) cases and incision in 11 (19%) cases associated with curettage in three cases and drainage in 1 case. There was no statistically significant relationship between the type of surgery and the occurrence of postoperative surgical complications (p=1) and hospital stay (p=0.4). Excision of pilonidal abscess was significantly associated with a longer time to return to activity (p=0.04). Conservative surgery was significantly associated with faster healing of the surgical wound (p<0.001). The recurrence rate was 19% in radical surgery and 54% in conservative surgery. Radical surgery was significantly associated with a lower recurrence rate than incision procedure (p=0.02). CONCLUSIONS: Excision of pilonidal abscess was the common technique in our series, with a significantly lower rate of recurrence of the disease than after incision. However, the long convalescence following excision and the longer operating time, particularly in an emergency context, may sometimes lead to choosing conservative surgery.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference21 articles.

1. Pilonidal sinus: finding the right track for treatment;Allen-Mersh TG;Br J Surg,1990

2. The management of patients with pilonidal disease –a comparative study;Bissett IP;Aust N Z J Surg,1987

3. The natural history of the post anal (pilonidal) sinus;Clothier PR;Ann R Coll Surg Engl,1984

4. The use of fusidic acid gel in pilonidal abscess treatment: cure, recurrence and failure rates;Courtney SP;Ann R Coll Surg Engl,1986

5. Pilonidal sinus disease;De Parades V;J Visc Surg,2013

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