Year 2021, Volume 7 , Issue 3, Pages 235 - 240 2021-05-04

Does the use of the dominant hand affect the direction of sinus extension to orient towards the right and left in pilonidal disease?

Süleyman KARGIN [1] , Osman DOĞRU [2] , Ersin TURAN [3] , Ramazan Saygin KERİMOGLU [4]


Objectives: The etiology of pilonidal sinus disease is still controversial. Acquired theory in its etiology has become more popular nowadays. The aim of this study was to investigate the effects of dominant hand use on sinus features and sinus direction.

Methods: Eight hundred and sixty-five patients with diagnosis of primer pilonidal sinus disease were included. Data on patients’ ages, BMI, over-sitting histories, duration of disease, dominant hand use histories, the condition of their sinuses at the time of presentation, the number of sinus openings, sinus directions, and sinus extension directions were collected. Relationship was evaluated between dominant hand use and sinus direction or sinus extension direction.

Results: There was no statistically significant difference between the patients’ ages, sexes, BMI figures, the durations of disease and over- sitting history and dominant hand use. While the sinus directions of patients who had shorter duration of disease were towards the midline, it was seen that as the duration of disease increased the sinus extensions were oriented any side (p = 0.01). There was, however, a significant relationship between the sinus extension direction and dominant hand use. It was observed that the sinus extension direction of the patients who dominantly used their right hands was towards the left, while the sinus extension direction of the patients with dominant left hands was towards the right (p = 0.04, RR:2.05).

Conclusions: The fact that sinus extension directions can change against factors affecting body positions proves to be another factor which shows that pilonidal sinus disease is an acquired disease.

Dominant hand, acquired theory, pilonidal disease, sinus direction
  • 1. Kanat BH, İlhan YS. History of pilonidal disease. Turkiye Klinikleri J Gen Surg-Special Topics 2018;11:81-4.
  • 2. Bascom J, Bascom T. Failed pilonidal surgery: new paradigm and new operation leading to cures. Arch Surg 2002;137:1146-50, discussion 1151.
  • 3. Karydakis GE. New approach to the problem of pilonidal sinus. Lancet 1973;2:1414-5.
  • 4. Buie LA, Curtiss RK. Pilonidal disease. Surg Clin North Am 1952;1247-59.
  • 5. Doll D, Petersen S. Trauma is not a common origin of pilonidal sinus. Dermatol Surg 2008;34:283-4.
  • 6. Bolandparvaz S, Moghadam DP, Salahi R, Paydar S, Bananzadeh M, Abbasi HR, et al. Evaluation of the risk factors of pilonidal sinus: a single center experience. Turk J Gastroenterol 2012; 23:535-7.
  • 7. Kaymakcioglu N, Yagci G, Simsek A, Unlu A, Tekin OF. Treatment of pilonidal sinus by phenol application and factors affecting the recurrence. Tech Coloproctol 2005; 9:21-4.
  • 8. Camci C. Pilonidal sinus disease: definition/epidemiology/pathophysiology/clinical outcome. Turkiye Klinikleri J Gen Surg-Special Topics 2018;11:85-7.
  • 9. Harlak A, Mentes O, Kilic S, Coskun K, Duman K, Yılmaz F. Sacrococcygeal pilonidal disease: analysis of previously proposed risk factors. Clinics (Sao Paulo) 2010; 65:125-31.
  • 10. Fitzpatrick EB, Chesley PM, Oguntoye MO, Maykel JA, Johnson EK, Steele SR. Pilonidal disease in a military population: how far have we really come? Am J Surg 2014;207:907-14.
  • 11. Yildiz T, Elmas B, Yucak A, Turgut HT, Ilce Z. Risk factors for pilonidal sinus disease in teenagers. Indian J Pediatr 2016;84:134-8.
  • 12. Uysal AC, Orbay H, Uraloglu M, Sensoz O, Hyakusoku H. Rare occupational disease of hairdressers: interdigital pilonidal sinus. J Nippon Med Sch2007;74:354-6.
  • 13. Eryilmaz R, Sahin M, Okan I, Alimoglu O, Somay A. Umbilical pilonidal sinus disease: predisposing factors and treatment. World J Surg 2005;29:1158-60.
  • 14. Hull TL, Wu J. Pilonidal disease. Surg Clin North Am 2002;82:1169-85.
  • 15. Karydakis GE. Hair insertion (pilonidal sinus). Helleni Arm Forc Med Rev 1968;2:273-85.
  • 16. Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust NZJ Surg 1992;62:385-9.
  • 17. Doll D, Matevossian E, Wietelmann K, Evers T, Kriner M, Petersen S. Family history of pilonidal sinus predisposes to earlier onset of disease and a 50 % long-term recurrence rate. Dis Colon Rectum 2009;52:1610-5.
  • 18. Bascom J. Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery 1980;87:567-72.
  • 19. Kanat BH, Sözen S. Disease that should be remembered: Sacrococcygeal pilonidal sinus disease and short history. World J Clin Cases 2015;3:876-9.
  • 20. Duman K, Gırgın M, Harlak A. Prevalence of sacrococcygeal pilonidal disease in Turkey. Asian J Surg 2017;40:434-7.
  • 21. Işık A, Fırat D, İdiz UO. Approaches to recurrent/complicated and acute cases. Turkiye Klinikleri J Gen Surg-Special Topics 2018;11:112-4.
Primary Language en
Subjects Surgery
Journal Section Original Articles
Authors

Orcid: 0000-0003-4597-8654
Author: Süleyman KARGIN (Primary Author)
Institution: Department of General Surgery, KTO Karatay University School of Medicine, Konya, Turkey
Country: Turkey


Orcid: 0000-0002-8761-3904
Author: Osman DOĞRU
Institution: Department of General Surgery, Konya Training and Research Hospital, Konya, Turkey
Country: Turkey


Orcid: 0000-0002-6413-6949
Author: Ersin TURAN
Institution: Department of General Surgery, Beyhekim State Hospital, Konya, Turkey
Country: Turkey


Orcid: 0000-0003-3149-9636
Author: Ramazan Saygin KERİMOGLU
Institution: Department of General Surgery, Konya Training and Research Hospital, Konya, Turkey
Country: Turkey


Dates

Application Date : November 9, 2020
Acceptance Date : December 21, 2020
Publication Date : May 4, 2021

EndNote %0 The European Research Journal Does the use of the dominant hand affect the direction of sinus extension to orient towards the right and left in pilonidal disease? %A Süleyman Kargın , Osman Doğru , Ersin Turan , Ramazan Saygin Kerimoglu %T Does the use of the dominant hand affect the direction of sinus extension to orient towards the right and left in pilonidal disease? %D 2021 %J The European Research Journal %P -2149-3189 %V 7 %N 3 %R doi: 10.18621/eurj.822818 %U 10.18621/eurj.822818