ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2024
Acute pilonidal abscess: Prospective nationwide audit in the Netherlands.
Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Pilonidal disease: Gaps in the guidelines and future perspectives.Turkish journal of surgery · 2025Article
- Acute pilonidal abscess: Prospective nationwide audit in the Netherlands.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
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11 authors.
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Abstract
aimThe aim of this study was to assess Dutch surgical practice and outcomes for acute pilonidal abscess.
methodPatients with pilonidal sinus disease (PSD) who underwent surgical treatment between 1 March 2020 and 1 March 2021 at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with an acute abscess were included for analysis. Outcomes included symptoms, wound healing, time to resume daily activities and complications. Follow-up was 1 year and included questionnaires on recurrent abscesses, symptomatic chronic PSD, quality of life and patient-reported experience measures.
resultsOf 681 included patients, 208 presented with an acute pilonidal abscess. Incision and drainage (I&D) was performed in 205 of these patients (99%). The wound healing rate after I&D was 42.2% at the outpatient clinic, with a median time to closure of 43 days. The complication rate was 4.4%. One-year questionnaires were completed by 158 out of 205 patients (77.1%). Fifteen patients (7.3%) had a recurrent abscess within 1 year. The symptomatic chronic PSD rate was 8.8%.
conclusionOf all the patients presenting with PSD in this prospective national study cohort, 30% had a pilonidal abscess. Incision and drainage showed a low complication rate but successful wound healing in less than half of the patients. The study showed that 91.2% of patients did not undergo additional surgical treatment for symptomatic chronic PSD within 1 year of follow-up.
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