Long-term outcome after Bascom's pit-pick procedure for pilonidal sinus disease: A cohort study.
Colorectal Dis
; 25(3): 413-419, 2023 03.
Article
em En
| MEDLINE
| ID: mdl-36268754
ABSTRACT
AIM:
Previous studies have shown favourable short-term results after Bascom's pit-pick procedure for simple pilonidal sinus disease. A minimum 5-year follow-up is considered the gold standard but only a few long-term studies have previously been reported. Here, we aimed to estimate the long-term risk of treatment failure, incomplete wound healing or recurrence, postoperative complications and patient reported outcome measures such as chronic pain and satisfaction with cosmetic appearance.METHODS:
Medical records of patients registered in a local database after undergoing Bascom's pit-pick procedure were reviewed and follow-up data updated. The patients received an online survey including questions about demographics, lifestyle, complications, reintervention, pain, satisfaction with cosmetic appearance and supplemented with telephone interviews if no response was received.RESULTS:
A total of 158 patients underwent Bascom's pit-pick procedure during the period August 2007 to March 2014. Median follow-up was 7.98 (0.66, 10.96) years. Twelve patients (8%) had reintervention due to incomplete wound healing. A total of 32 patients experienced a recurrence. In competing risk analyses, the 10-year cumulative recurrence rate was 27% (95% CI 19%-35%) of patients with complete wound healing. Treatment success was 68%. Recurrence was associated with active smoking, HR of 5.30 (95% CI 1.42-19.86; p = 0.01), and number of primary pits ≥3, HR of 5.11 (95% CI 1.49-17.47; p = 0.01). More than 90% had no postoperative complications or chronic pain, and more than 70% reported a high satisfaction with the cosmetic appearance.CONCLUSION:
Bascom's pit-pick seems to be adequate treatment for most patients with a simple pilonidal sinus.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Seio Pilonidal
/
Dor Crônica
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article