Next Article in Journal
Parent and Family Functioning in Pediatric Inflammatory Bowel Disease
Previous Article in Journal
Longitudinal Predictors of Self-Regulation at School Entry: Findings from the All Our Families Cohort
Article

Primary Transverse Closure Compared to Open Wound Treatment for Primary Pilonidal Sinus Disease in Children

1
Department of Pediatric Surgery, University Children’s Hospital Basel, 4031 Basel, Switzerland
2
Department of Clinical Research, University of Basel, University Hospital Basel, 4031 Basel, Switzerland
*
Author to whom correspondence should be addressed.
Received: 19 August 2020 / Revised: 13 September 2020 / Accepted: 12 October 2020 / Published: 17 October 2020
(This article belongs to the Section Pediatric Surgery)
We aimed to compare the outcome of two different operative methods to correct pilonidal sinus disease (PSD) in children, i.e., excision and open wound care (OW) versus excision and primary transverse closure (PC) of the wound. In this retrospective, observational study, we extracted data from the medical records of 56 patients who underwent surgery for PSD at our institution between 1 January 2006 and 31 December 2016. To test whether the primary variable, i.e., rate of PSD recurrence, differed between the two surgical groups, a logistic regression model was fitted. Secondary explanatory variables were total length of stay (LOS) at the hospital, complications, sex and age of patients, seniority of the surgeon in charge, and volume of excised specimen. Overall, 32 (57%) children and young adults underwent OW, while 24 (43%) patients were treated by PC. Mean age at operation was 15.5 years in either group. PSD recurred in 12 of 32 (37.5%) children in the OW group and in 3 of 24 (12.5%) children in the PC group (ratio: 0.19, 95% confidence interval [95% CI] 0.03–1.07). Thus, treatment of primary PSD by PC proved superior with respect to PSD recurrence. Moreover, our study did not bring to light any high-grade complications in the PC group, and postoperative pain was minimal. Less invasive treatment approaches for chronic PSD are typically performed in an outpatient setting and offer reduced morbidity, low rates of PSD recurrence, and shortened periods of time to return to work or social activities. More radical operations of PSD should be reserved for recurrent PSD where less invasive approaches have failed several times. View Full-Text
Keywords: child; pilonidal sinus disease; recurrence; economics; LOS; primary transverse closure; surgical excision child; pilonidal sinus disease; recurrence; economics; LOS; primary transverse closure; surgical excision
Show Figures

Figure 1

MDPI and ACS Style

Pfammatter, M.; Erlanger, T.E.; Mayr, J. Primary Transverse Closure Compared to Open Wound Treatment for Primary Pilonidal Sinus Disease in Children. Children 2020, 7, 187. https://0-doi-org.brum.beds.ac.uk/10.3390/children7100187

AMA Style

Pfammatter M, Erlanger TE, Mayr J. Primary Transverse Closure Compared to Open Wound Treatment for Primary Pilonidal Sinus Disease in Children. Children. 2020; 7(10):187. https://0-doi-org.brum.beds.ac.uk/10.3390/children7100187

Chicago/Turabian Style

Pfammatter, Michèle, Tobias E. Erlanger, and Johannes Mayr. 2020. "Primary Transverse Closure Compared to Open Wound Treatment for Primary Pilonidal Sinus Disease in Children" Children 7, no. 10: 187. https://0-doi-org.brum.beds.ac.uk/10.3390/children7100187

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop