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- Dokumenttyp:
- Article
- Autor(en):
- Doll, D; Novotny, A; Wietelmann, K; Matevossian, E; Evers, T; Lieber, A; Düsel, 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:
- 2
- Seitenangaben Beitrag:
- 60-65
- Sprache:
- eng
- Print-ISSN:
- 1682-8631
- TUM Einrichtung:
- Chirurgische Klinik und Poliklinik
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