Document Type : Original Article
Authors
- Seyed Vahid Hosseini 1
- Mohammad Saleh Zeyed Sadhan 2
- Mozhdeh Zamani 3
- Hajar Khazraei 4
- Leila Ghahramani 5
1 Professor, Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2 M.D., Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
3 Assistant Professor of Pharmaceutical Biotechnology, Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
4 Assistant Professor of Pharmacology, Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5 Assistant Professor, Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract
Introduction: Sacrococcygeal Pilonidal disease is a relatively common disease with high morbidity. This medical condition has been more detected in young adult men. Different types of management have been applied depending on the extension and severity of the disease, including resection without repair, primary closure, and using different methods of flap reconstruction.
Methods: In this cross-sectional study, 405 patients with the pilonidal disease were evaluated. Patients treated with different surgical techniques between 2006 to 2011 in Shahid Faghihi Hospital and Namazee Hospital of Shiraz University of Medical Sciences. Demographic data were registered and the surgical methods and complications were identified.
Results:Most of the patients were young men (265 cases, 65.4%) and their main complaints were discharge and pain (353 cases, 87.2%) in the Sacrococcygeal area. Comparison of the surgical methods including resection with an open wound, primary closure, and Rhomboid flap indicates that recurrence was seen low in all three techniques (33 cases, 8.2%), especially in the surgery using Rhomboid flap. High-protein and high-caffeine meal (291 cases, 71.8%) and living in the warm and humid climates (348 cases, 85.9%) have been evaluated as predisposing factors for disease development.
Conclusion:Due to primary results, the rhomboid/Limberg flap procedure should be considered as the preferable surgery method for the treatment of Sacrococcygeal Pilonidal disease. Further investigations are inevitable to find the role of factors like high-protein and high-caffeine meals on the incidence of pilonidal disease.
Keywords
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