Recurrent pilonidal disease surgery: Is it second primary or reoperative surgery?

• DOI: 10.5152/ucd.2015.3112
• Publication Date: 2015-09-14T12:36:29Z
• Authors: Ahmet Deniz Ucar; Erdem Baris Carti; Erkan Oymaci; Erdem Sari; Savas Yakan; Mehmet Yildirim; Nazif Erkan
• Keywords: Demographics

Pilonidal sinus disease (PSD) effects mainly young men's social and work life with frequent recurrence rate. Reoperation for unimproved or recurrent is somehow troublesome. Surgeons may think that changing treatment strategy after prevent further relapses of PSD. We analyzed patients pilonidal to determine their predisposing features the outcomes preferred surgical methods.From 2007 2012, out 95 (rPSD) patients, 62 operated cases were included examined retrospectively. Their retrospective data demographics, 1(st) 2(nd) operation types, patient satisfaction pain scores. For insufficient preoperative postoperative data, phone call interviews done obtain data. Some kindly invited outpatient examination. Student's t test, Mann-Whitney U Kaplan Meier test free survival time used where appropriate. P values less than 0.05 accepted be statistically significant.Total rPSD examined. Male:female ratio was 2.9:1. The mean age operations 24.7 28.1 years, respectively. One five-year rates 33.9% 66.1%, interval between 45.6 months. Excision midline closure most type followed by flap reconstructions excision-lay open procedures. types different from operations. Pain perception scores better in reconstruction groups.Reoperative surgery satisfactory certain precautions. Relapses procedures a well-being period should referred as second primary disease. Changing not always indicated some have relapsing distinct clinical course. Re-flap any kind relapse well appreciated.