SP10.11 Does Specialised training reduce the recurrence rate of pilonidal sinus disease surgery?

Résumé fourni par la source

Abstract Background Pilonidal sinus surgery is challenging, and its recurrence rates have been reported to be high as 30% in a number of series. Long-term morbidity, recurrent infection, non-healing, and chronic wound discharge affect patients’ quality of life. This study aimed to compare the recurrence rate of the different surgical techniques of pilonidal sinus disease in our institution. Methods A retrospective study was done of adults who had elective pilonidal surgery from 2016-2021. Recurrence was defined as an active disease that required surgical intervention >30 days after surgery. Results were analysed for the different operative techniques used. Results 208 patients were included,167 (80.3%) were male with a mean age of 31.2 years. The mean follow-up was 47 months. The recurrence was reported in 19 cases (9%). Out of 17 cases done by excision and lay-open technique, 11.8% had a recurrence, while 9.8% of 143 recured after simple excision and closure. Only 3 of 48 cases with the flap technique had a recurrence. When the surgeon specialty was analysed as a factor of recurrence, colorectal surgeons did 38% (19/208) of the cases including flap technique, and their recurrence rate was 6.3% (5/79). In comparison, non-colorectal general surgeons operated on 50.5% (105/208) of the cases with no flap technique, and their recurrence rate was 11.4% (12/105). Only 2 out of 24 cases were operated by plastic surgeons had a recurrence. Conclusions Flap reconstruction yields a low recurrence rate in pilonidal sinus disease surgery. Specialised training for this procedure should be encouraged for the colorectal trainees, that may improve the outcome.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.