ArticleScientific reports2019
Impact of geography and surgical approach on recurrence in global pilonidal sinus disease.
Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05289297 (Karydakis Flap Procedure Versus Burow's Triangle Advancement Flap Procedure in the Surgical Treatment of Sacrococcygeal Pilonidal Sinus Disease), which is not on this map. Cited by 16 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Karydakis Flap Procedure Versus Burow's Triangle Advancement Flap Procedure in the Surgical Treatment of Sacrococcygeal Pilonidal Sinus Disease
Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Midline and off-midline wound closure methods after surgical treatment for pilonidal sinus.The Cochrane database of systematic reviews · 2024Pooled it
- Karydakis procedure versus Limberg flap for treatment of pilonidal sinus: an updated meta-analysis of randomized controlled trials.International journal of colorectal disease · 2021Pooled it
- Global Gender Differences in Pilonidal Sinus Disease: A Random-Effects Meta-Analysis.World journal of surgery · 2020Pooled it
- Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis.Scientific reports · 2020Pooled it
- Surgical preference and outcomes in pilonidal sinus disease: a national multicenter study evaluating complications, recurrence, and quality of life (PISI TURKEY).Techniques in coloproctology · 2026Observational
- Limberg flap reconstruction for recurrent pilonidal sinus disease: A single-center U.S. Cohort.Langenbeck's archives of surgery · 2026Article
- Advancements and Innovations in the Surgical Management of Sacrococcygeal Pilonidal Sinus: A Comprehensive Review.Cureus · 2024Review
- Unroofing and curettage for recurrent sacrococcygeal pilonidal disease.Frontiers in surgery · 2024Article
- Paediatric Pilonidal Sinus Disease: Early Recurrences Irrespective of the Treatment Approaches in a Retrospective Multi-centric Analysis.World journal of surgery · 2023Article
- Demographic overview of pilonidal sinus carcinoma: updated insights into the incidence.International journal of colorectal disease · 2023Article
- Pit picking vs. Limberg flap vs. primary open method to treat pilonidal sinus disease - A cohort of 327 consecutive patients.Innovative surgical sciences · 2022Article
- Pilonidal sinus disease on the rise: a one-third incidence increase in inpatients in 13 years with substantial regional variation in Germany.International journal of colorectal disease · 2021Article
- Letter to the Editor: Comparison of Common Surgical Procedures in Non-Complicated Pilonidal Sinus Disease, a 7-Year Follow-Up Trial.World journal of surgery · 2021Article
- Primary Transverse Closure Compared to Open Wound Treatment for Primary Pilonidal Sinus Disease in Children.Children (Basel, Switzerland) · 2020Article
- Turkey is leading in the 21Turkish journal of surgery · 2020Article
- Pilonidal sinus disease recurrence at a tertiary care center in Riyadh.Annals of Saudi medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pilonidal sinus disease (PSD) is increasing globally. A recent meta-analysis and merged-data analysis showed that recurrence rates in PSD depend essentially on follow-up time and specific surgical procedures. However, the global distribution of surgical approaches and respective recurrence rates have never been studied in PSD. We aimed at studying the impact of geographic distribution of surgical approaches to treat PSD and subsequent geography-specific recurrence rates. We searched relevant databases as described previously. Recurrence rates were then associated with reported follow-up times and geographic origin. We simulated individual patients to enable analogy across data. Globally, recurrence rates range from 0.3% for Limberg/Dufourmentel approaches (95% CI 0.2-0.4) and flaps (95% CI 0.1-0.5) and up to 6.3% for incision (95% CI 3.2-9.3) at 12 months. Recurrence rates range from 0.3% for Karydakis/Bascom approaches (95% CI 0.0-0.8) up to 67.2% for incision (95% CI 7.5-100) in the USA, and 0.0% for primary asymmetric closure in Germany (95% CI 0.0-0.0). Our analysis shows that recurrence rates in PSD not only depend on therapeutic approaches and follow-up time but also on geography. Primary asymmetric closure and various flap techniques remain superior regardless of the geographical region. Some approaches have extraordinarily good outcomes in specific countries.
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