Evidence map›Paper›PMID 39634483›Full record

ArticleFrontiers in surgery2024

Unroofing and curettage for recurrent sacrococcygeal pilonidal disease.

Mehmet Ali Koc, Haydar Celasin, Kaan Sunter, Cihangir Akyol, Ibrahim Ethem Gecim

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Article in Frontiers in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mehmet Ali KocDepartment of Surgery, Ankara University School of Medicine, Ankara, Türkiye.
Haydar CelasinDepartment of Surgery, Lokman Hekim University School of Medicine, Ankara, Türkiye.
Kaan SunterDepartment of Surgery, Ankara University School of Medicine, Ankara, Türkiye.
Cihangir AkyolDepartment of Surgery, Ankara University School of Medicine, Ankara, Türkiye.
Ibrahim Ethem GecimDepartment of Surgery, Ankara University School of Medicine, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Sacrococcygeal pilonidal disease (SPD) is a global concern, notably in Southeast Europe and the Middle East. Unroofing curettage (UC), which provides faster recovery, better cosmetic appearance, and lower recurrence rates in the primary cases, was evaluated with the results of recurrent disease. Methods: This retrospective study included 74 patients with recurrent disease who were over 16 years of age, experienced recurrence after at least one surgical attempt, and underwent unroofing curettage between 2007 and 2019. Operation time, return to work duration, and recurrence rates were assessed. Results: Mean age of patients was 29.8 ± 10.6 years, and 61 (82.4%) were male. Previous procedures included excision + flap reconstruction, excision + primary closure, and local excision + lay open. Mean operation time for unroofing curettage was 22 ± 5.3 min. Mean durations for return to work and recovery were 5.9 ± 3 days, and 6.5 ± 2.6 weeks, respectively. Mean follow-up duration was 81.6 ± 49 months. Recurrence was only observed in 1 (1.3%) patient. Unroofing curettage showed a mean recurrence-free period of 156.9 months (95% CI [, 152.9-160.9 months). Conclusion: Unroofing curettage stands out as a low-recurrence approach, likely to persist as a treatment method, especially for a selected group with recurrence.

Indexed as

curettagepilonidal cystpilonidal sinusrecurrencesacrococcygeal pilonidal diseaseunroofing

Identifiers

PMID39634483
PMCPMC11614795

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