When Should Definitive Surgery Be Performed After Sacrococcygeal Pilonidal Sinus Abscess Drainage

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dc.contributor.authorGüler, Yılmaz
dc.contributor.authorSengul, Serkan
dc.contributor.authorÇalış, Hasan
dc.contributor.authorKarabulut, Zulfikar
dc.contributor.authorOzen, Ozkan
dc.date.accessioned2026-01-24T12:01:00Z
dc.date.available2026-01-24T12:01:00Z
dc.date.issued2023
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractObjective: The abscess development is one of the common clinical presentations of pilonidal sinus. Treatment in pilonidal sinus abscesses involves allowing secondary recovery following wide local excision with drainage, and excision procedures are performed after a few weeks and after the infection is completely cured. We aimed to investigate the effect of the time interval between the abscess drainage and definitive surgical treatment on the development of postoperative complications in patients who had pilonidal sinus abscess. Methods: The patients were divided into 2 groups according to the time interval from abscess drainage to sinus excision surgery: patients who under- went sinus excision 1 month after abscess drainage comprised group 1 and patients who underwent sinus excision 3 months after abscess drainage comprised group 2. Sinus excision and primary closure surgery were performed in patients in both groups. Results: In total, 44 patients (53.0%) underwent sinus excision group 1 and 39 patients (47.0%) underwent sinus excision group 2 after abscess drainage. Postoperative wound infection and wound dehiscence rates were significantly higher in group 1 patients than in group 2 patients (P < .05). Conclusion: We suggest that for reducing postoperative complications, it would be a better approach performing sinus excision after waiting for at least 3 months following drainage instead of performing excision right after recovery of infection or within a few weeks after the abscess drainage.
dc.identifier.doi10.5152/cjm.2023.22111
dc.identifier.endpage278
dc.identifier.issn2687-1904
dc.identifier.issue3
dc.identifier.startpage274
dc.identifier.trdizinid1258409
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1258409
dc.identifier.urihttps://doi.org/10.5152/cjm.2023.22111
dc.identifier.urihttps://hdl.handle.net/20.500.12868/3914
dc.identifier.volume47
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofCerrahpaşa Medical Journal
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR-Dizin_20260121
dc.subjectInfection
dc.subjectrecurrence
dc.subjectabscess
dc.subjectPilonidal sinus
dc.titleWhen Should Definitive Surgery Be Performed After Sacrococcygeal Pilonidal Sinus Abscess Drainage
dc.typeArticle

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