Comparison of Drainage, Delayed Pits Excision, and Closure With Excision and Secondary Healing in Pilonidal Sinus Abscess Cases

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dc.authorid0000-0003-2006-9198
dc.authorid0000-0001-6758-7289
dc.authorwosidSözen, Selim/ABA-6337-2020
dc.authorwosidAZİRET, MEHMET/I-5483-2014
dc.contributor.authorSözen, Selim
dc.contributor.authorAziret, Mehmet
dc.contributor.authorBali, İlhan
dc.contributor.authorYıldırım, Ali Cihat
dc.date.accessioned2022-05-11T14:34:57Z
dc.date.available2022-05-11T14:34:57Z
dc.date.issued2016
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractA pilonidal abscess is an emergency situation which requires immediate drainage and is usually seen in young men. We aimed to compare incision and draining (I&D) of acute pilonidal abscess (PSA) and healing by secondary intention with I&D and subsequent delayed pits excision and closure (PE/PC). A total of 62 patients admitted with PSA were randomized to undergo either I&D and healing by secondary intention (group 1, n = 33) or I&D and PE/PC (group 2, n = 29). Demographic characteristics of the patients, abscess depth and location, duration and healing times of the symptoms, time required to return to work, and ratio of chronic pilonidal sinus (PNS) development were recorded, and the two methods were compared. No statistically significant differences were found between the groups in relation to sex, age, and preoperative findings, including discharge, infection, pain, and length and depth of abscess. There was no difference in length of hospital stay between the groups, and no statistically significant difference was found between the groups in terms of complication rate (P = 0.298). A statistically significant difference (P = 0.033) was, however, found between the two groups in the recurrence rate of a pilonidal abscess (9.09% in group 1 versus 3.44% in group 2). A statistically significant difference was also observed between the groups in terms of development of chronic PNS (P = 0.020). According to the results of our study, I&D and PE/PC should be the primary procedure used, as opposed to skin incision, curettage, and secondary healing for the treatment of PSA.
dc.identifier.doi10.9738/INTSURG-D-15-00140.1
dc.identifier.endpage232
dc.identifier.issn0020-8868
dc.identifier.issue45448en_US
dc.identifier.scopus2-s2.0-85015860144
dc.identifier.scopusqualityQ4
dc.identifier.startpage227
dc.identifier.urihttps://doi.org/10.9738/INTSURG-D-15-00140.1
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8153
dc.identifier.volume101
dc.identifier.wosWOS:000402283400006
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorSözen, Selim
dc.institutionauthorBali, İlhan
dc.language.isoen
dc.publisherInt College Of Surgeons
dc.relation.ispartofInternational Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPilonidal abscess
dc.subjectDrainage
dc.subjectExcision
dc.subjectIncision
dc.subjectDisease
dc.titleComparison of Drainage, Delayed Pits Excision, and Closure With Excision and Secondary Healing in Pilonidal Sinus Abscess Cases
dc.typeArticle

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