Purpose: The aim of this study was to evaluate the 5-year recurrence rate of pilonidal sinus disease (PSD) after endoscopic sinusectomy and identify risk factors for recurrence. Methods: All consecutive patients from September 2011 through December 2017 who underwent endoscopic sinusectomy at seven referral centres for pilonidal sinus treatment were retrospectively analysed from a prospectively maintained database. Results: Out of 290 patients (185 males versus 105 female, with a mean age of 25.5±6.9), 73 presented recurrence at 5-year follow-up with a recurrence rate of 25.2%. The number of pilonidal sinus with pits off the midline (p = 0.001) and the mean (SD) distance from the most lateral orifice to the midline (p = 0.001) were higher in the group of patients with recurrence at 5-year follow-up. Multivariate analysis demonstrated that the position of the pits off the midline (p = 0.001) and the distance of the most lateral orifice from the midline (p = 0.001) were independent risk factors for recurrence at 5-year follow-up. Receiver operating characteristic (ROC) curve analysis showed that the distance of lateral orifice from midline predicted an 82.2% possibility of recurrence at 5-year follow-up and Youden's test identified the best cut-off as 2 cm for this variable. Out of 195 cases with the most lateral orifice less than 2 cm from the midline, 13 presented recurrence at 5-year follow-up with a recurrence rate of 6.7%. Out of 95 cases with the most lateral orifice more than 2 cm from midline, 60 showed recurrence at 5-year follow-up with a recurrence rate of 63.2%. Conclusions: This data may help guide which disease characteristics predict the optimal use of an endoscopic pilonidal sinus technique.

Five-year recurrence after endoscopic approach to pilonidal sinus disease: A multicentre experience / Manigrasso, M; D'Amore, A; Benatti, E; Bracchitta, L M; Bracchitta, S; Cantarella, F; Carpino, A; Ferrari, F; Gallo, G; La Torre, M; Magnani, C; Magni, E; Margiotta, A; Masetti, M; Mori, L; Pata, F; Pezza, M; Tierno, S; Tomassini, F; Vanini, P; De Palma, G D; Milone, M. - In: TECHNIQUES IN COLOPROCTOLOGY. - ISSN 1128-045X. - (2023). [10.1007/s10151-023-02846-7]

Five-year recurrence after endoscopic approach to pilonidal sinus disease: A multicentre experience

Manigrasso, M;D'Amore, A;De Palma, G D;Milone, M
2023

Abstract

Purpose: The aim of this study was to evaluate the 5-year recurrence rate of pilonidal sinus disease (PSD) after endoscopic sinusectomy and identify risk factors for recurrence. Methods: All consecutive patients from September 2011 through December 2017 who underwent endoscopic sinusectomy at seven referral centres for pilonidal sinus treatment were retrospectively analysed from a prospectively maintained database. Results: Out of 290 patients (185 males versus 105 female, with a mean age of 25.5±6.9), 73 presented recurrence at 5-year follow-up with a recurrence rate of 25.2%. The number of pilonidal sinus with pits off the midline (p = 0.001) and the mean (SD) distance from the most lateral orifice to the midline (p = 0.001) were higher in the group of patients with recurrence at 5-year follow-up. Multivariate analysis demonstrated that the position of the pits off the midline (p = 0.001) and the distance of the most lateral orifice from the midline (p = 0.001) were independent risk factors for recurrence at 5-year follow-up. Receiver operating characteristic (ROC) curve analysis showed that the distance of lateral orifice from midline predicted an 82.2% possibility of recurrence at 5-year follow-up and Youden's test identified the best cut-off as 2 cm for this variable. Out of 195 cases with the most lateral orifice less than 2 cm from the midline, 13 presented recurrence at 5-year follow-up with a recurrence rate of 6.7%. Out of 95 cases with the most lateral orifice more than 2 cm from midline, 60 showed recurrence at 5-year follow-up with a recurrence rate of 63.2%. Conclusions: This data may help guide which disease characteristics predict the optimal use of an endoscopic pilonidal sinus technique.
2023
Five-year recurrence after endoscopic approach to pilonidal sinus disease: A multicentre experience / Manigrasso, M; D'Amore, A; Benatti, E; Bracchitta, L M; Bracchitta, S; Cantarella, F; Carpino, A; Ferrari, F; Gallo, G; La Torre, M; Magnani, C; Magni, E; Margiotta, A; Masetti, M; Mori, L; Pata, F; Pezza, M; Tierno, S; Tomassini, F; Vanini, P; De Palma, G D; Milone, M. - In: TECHNIQUES IN COLOPROCTOLOGY. - ISSN 1128-045X. - (2023). [10.1007/s10151-023-02846-7]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/936943
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