Pilonidal disease simple pathogenesis but complex management
Hassan, M., Aiad, A., Tobar, W., Gamal, I., Refaat, A. (2007). Pilonidal disease simple pathogenesis but complex management. EKB Journal Management System, 29(1), 726-731. doi: 10.21608/ejhm.2007.17713
Mohammed Hassan; Amr Aiad; Wael L. Tobar; Islam Gamal; Ayman Refaat. "Pilonidal disease simple pathogenesis but complex management". EKB Journal Management System, 29, 1, 2007, 726-731. doi: 10.21608/ejhm.2007.17713
Hassan, M., Aiad, A., Tobar, W., Gamal, I., Refaat, A. (2007). 'Pilonidal disease simple pathogenesis but complex management', EKB Journal Management System, 29(1), pp. 726-731. doi: 10.21608/ejhm.2007.17713
Hassan, M., Aiad, A., Tobar, W., Gamal, I., Refaat, A. Pilonidal disease simple pathogenesis but complex management. EKB Journal Management System, 2007; 29(1): 726-731. doi: 10.21608/ejhm.2007.17713

Pilonidal disease simple pathogenesis but complex management

The Egyptian Journal of Hospital Medicine
Article 21, Volume 29, Issue 1, October 2007, Page 726-731  XML PDF (549.45 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2007.17713
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Authors
Mohammed Hassan1; Amr Aiad1; Wael L. Tobar1; Islam Gamal1; Ayman Refaat2
1Department of Surgery Cairo University
2Department of Surgery, Beni-Suef University
Abstract
Design: retrospective study
Patients & Methods: the study was conducted on 75 patients suffering PND with a male
to female ratio 59 to 16 done between May 2004 to June 2007 with a follow up range 8-13 and a median of 10.7 months. Sixty four patients had sacrococcygeal disease, 9 patients had umbilical disease, and 1 patient had suprapubic while 1 patient had axillary disease. For sacrococcygeal disease Limberg operation was done in 26.5% (n=17), abscess drainage and curettage in 31.2% (n=20), Bascom operation in 23% (n=15) while conservative treatment in 31.2% (n=20).For umbilical disease, omphalectomy was done in all cases (n=9). Conservative treatment was done for suprapubic disease while excision followed by primary closure was done in axillary disease (n=1) after failure of conservation.
Aim: to evaluate different modalities in treating pilonidal disease (PND)
Results: For sacrococcygeal disease, patients who received Limberg procedure (n=17) showed complete resolution in 88.2% (n=15) with recurrence rate 11.8% (n=2). Those who received Bascom operation showed complete resolution after all procedures with no recurrence during the follow up period. Patients who received conservative treatment (n=20) showed a success rate of 70% (n=14) with recurrence rate of 30% (n=6) who received Bascom procedure later for their recurrence. For umbilical, suprapubic and axillary disease; omphalectomy, conservative treatment and excision with primary closure were used respectively with no complications encountered.
Conclusion: For sacrococcygeal disease, Bascom operation was found to be superior over other modalities with respect to smooth postoperative period and early healing while in umbilical disease conservation shows higher success rate.
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