1 Sep 2015Article
Tension-free primary closure for the treatment of pilonidal disease
Ilker Arer 1Hakan Yabanoglu 1Kenan Caliskan 1
Affiliations
Article Info
1 Adana Teaching and Research Center, Department of General Surgery, Baskent University School of Medicine Adana, Turkey
Ann. Ital. Chir., 2015, 86(5), 459-463;
Published: 1 Sep 2015
Copyright © 2015 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
AIM: Pilonidal disease (PD) is a common disorder that usually affects young population and generally seen in intergluteal region. Conservative and surgical treatment options have been utilized. Many surgical techniques including primary closure, marsupialization and flap procedures have been described. The present study aims to evaluate the optimal surgical method for the treatment of PD. MATERIAL AND METHODS: A total of 151 patients underwent pilonidal disease surgery between January 2007 and September 2014 were enrolled in this study. Patients were compared according to age, sex, operation time, length of. RESULTS: A total of 151 patients with a mean age of 25.18 years (range 14-66) presented with pilonidal disease were evaluated. Primary closure (PC) and tension-free primary closure (TFPC) were performed in 105 (69.5%) and 46 (30.5%) patients, respectively. There was no statistical difference between groups according to age, sex, operation time and length of hospital stay. Only 9 patients (8.6%) in PC and 3 patients (6.5%) in TFPC have postoperative recurrent disease. of 17 patients (7.9%) dehiscence was seen, 15 (14.3%) were in PC group and 2 (4.3%) were in TFPC group. Postoperative seroma or wound infection was seen in 16 patients (10.6%). CONCLUSION: Tension-free primary closure is a method that is effective as primary closure.
Keywords
- Modified primary closure
- Pilonidal disease
- Primary closure