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Dokumenttyp:
journal article 
Autor(en):
Doll, D; Novotny, A; Wietelmann, K; Matevossian, E; Evers, T; Lieber, A; Dusel, W; Petersen, S 
Titel:
Factors influencing surgical decisions in chronic pilonidal sinus disease 
Abstract:
BACKGROUND: Pilonidal sinus disease (PSD) may be present as chronic PSD, which may eventually exacerbate. Factors associated with the progression of chronic PSD to acute abscess-forming PSD were investigated. METHODS: Records of 1962 patients admitted to the surgical departments of three hospitals of the German Armed Forces between 1980 and 1996 with PSD were analyzed. RESULTS: Patients with chronic PSD showed higher sinus numbers (p< 0.001) and longer disease history (p< 0.001), while acute abscess-forming PSD was associated with smoking (p< 0.001). Surgeons were more likely to opt for primary wound closure when fewer sinus were present. Primary wound closure was similarly successful in chronic (67.2%) and acute (66.9%) PSD. Primary wound healing rate was negatively influenced by a high BMI in chronic PSD (p = 0.012). CONCLUSIONS: Early elective surgery in chronic PSD seems justified in patients presenting with a short duration of disease, low sinus number and smoking history. 
Zeitschriftentitel:
Eur Surg 
Jahr:
2009 
Band / Volume:
41 
Heft / Issue:
Seitenangaben Beitrag:
60-65 
Sprache:
eng 
Print-ISSN:
1682-8631 
TUM Einrichtung:
Chirurgiesche Klinik und Poliklinik