Female sacrococcygeal pilonidal sinus features and EQ-5D life quality survey and body image survey results: a clinical study

Year 2021, Volume: 3 Issue: 1, 31 - 35, 22.01.2021

Mehmet Saydam Mutlu Şahin

https://doi.org/10.38053/acmj.819967

Cited By: 2

Abstract

Aim: Pilonidal sinus disease (PSD) is not common in female patients. It is seen in adult women 2.2 to 4 times less than men. The most common age range is between 10 and 40. To date, there has been no randomized or retrospective study in the literature representing the general characteristics of women-specific pilonidal sinus cases and the quality of life questionnaire (EQ-5D) and body image questionnaire (BIQ) results. The purpose of this study is to show the general features, treatment principles and body image and quality of life (EQ-5D) survey results of the female pilonidal sinus cases.
Material and Method: A retrospective clinical study was conducted with 29 women who were admitted to our clinic between June 2013 and May 2016 and treated with surgery by the pre-diagnosis of sacrococcygeal PSD. Patients received face-to-face body image questionnaire (BIQ) and quality of life questionnaire (EQ-5D) at the 2nd postoperative week.
Results: The mean age was 27.07±5.63 years. BIQ cosmetic and self-confidence scores differ significantly between at least two groups (p=0.042 and p=0.021, respectively) in the favor of primer midline closure (PMC) group. As a result of bilateral comparisons made for the BIQ cosmetic score, there was a significant difference between the Limberg-Z plasty and the Karydakis group (p=0.039).
Conclusion: Female patients who underwent PMC had better satisfaction with the appearance of their scar. The treatment of female PSD with minimally invasive techniques and primary closure techniques seems to be the best option for the selected patients.

Keywords

Pilonidal sinus disease, cosmesis, primer midline closure

References

• Sondenaa K, Andersen E, Nesvik I, Soreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorectal Dis 1995; 10: 39–42.
• Akinci OF, Kurt M, Terzi A, et al: Natal cleft deeper in patients with pilonidal sinus: Implications for choice of surgical procedure. Dis Colon Rectum 2009; 52: 1000–2.
• Shareef SH, Hawrami TA, Salih AM, et al. Intermammary pilonidal sinus: the first case series. Int J Surg Case Rep 2017; 41: 265–8.
• Spivak H, Brooks VL, Nussbaum M, Friedman I. Treatment of chronic pilonidal disease. Dis Colon Rectum 1996; 39: 1136–9.
• Sinan H, Demirbas S, Ozer MT, Akyol M. Single‑incision laparoscopic cholecystectomy versus laparoscopic cholecystectomy: A prospective randomized study. Surg Laparosc Endosc Percutan Tech 2012; 22: 12‑6.
• Sucullu I, Filiz AI, Canda AE, Yucel E, Kurt Y, Yildiz M. Body image and cosmesis after laparoscopic or open appendectomy. Surg Laparosc Endosc Percutan Tech 2009; 19: 401‑4.
• Maurice BA, Greenwood RK: A conservative treatment of pilonidal sinus. Br J Surg 1964; 51: 510–2.
• Luedi MM, Kauf P, Evers T, et al. Impact of spinal versus general anesthesia on postoperative pain and long term recurrence after surgery for pilonidal disease. J Clin Anesth 2016; 33: 236–42.
• Kazim D, Mustafa G, Ali H. Prevalence of sacrococcygeal pilonidal disease in Turkey. Asian J Surg 2017; 40: 434-7.
• Sondenaa K, Andersen E, Nesvik I, Soreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorectal Dis 1995; 10: 39e42.
• Rahsan O, Mirzaman H, Ayten CB, Senol E, et al. Which treatment modality for pediatric pilonidal sinus: Primary repair or secondary healing? Asian J Surg 2018; 41: 506-10.
• Kooistra HP. Pilonidal sinuses. Review of the literature and report of three hundred and fifty cases. Am J Surg. 1942; 55: 3e17.
• Kanat BH, Girgin M. Etiologic factor in the increased frequency of pilonidal disease: computer DEU Med J 2013; 27: 59e61.
• Çolak T, Sücüllü İ, Sinan H, Sengül N, Terzi C. Results of surgeon attitude questionnaire on pilonidal sinus. Kolon Rektum Hast Derg 2011; 21: 165–72.
• Koorista HP. Pilonidal sinuses. Review of literature and report of three hundred and fifty cases. Am J Surg 1942; 55: 3–17.
• Akıncı OF, Coskun A, Uzunköy A. Simple and effective surgical treatment of pilonidal sinus: asymmetric excision and primary closure using suction drain and subcuticular skin closure. Dis Colon Rectum 2000; 43: 701–7.
• Kapan M, Kapan S, Pekmezci S, Durgun V. Sacrococcygeal pilonidal sinus disease with Limberg flap repair. Tech Coloproctol 2002; 6: 27–32.
• Bozkurt MK, Tezel E. Management of pilonidal sinus with the Limberg flap. Dis Colon Rectum 1998; 41: 775–7.
• Mentes O, Bagci M, Bilgin T, Coskun I, Ozgul O, Ozdemir M. Management of pilonidal sinus disease with oblique excision and primary closure: results of 493 patients. Dis Colon Rectum 2006; 49: 104–8.
• Eryilmaz R, Sahin M, Alimoglu O, Dasiran F. Surgical treatment of sacrococcygeal pilonidal sinus with the Limberg transposition flap. Surgery 2003; 134: 745–9.
• Mentes O, Bagci M, Bilgin T, Coskun I, Ozgul O, Ozdemir M. Management of pilonidal sinus disease with oblique excision and primary closure: results of 493 patients. Dis Colon Rectum 2006; 49: 104–18.
• Mansoory A, Dickson D. Z-plasty for treatment of disease of the pilonidal sinus. Surg Gynecol Obstet 1982; 155: 409–11.