Skip to main content

ORIGINAL RESEARCH article

Front. Surg.
Sec. Colorectal and Proctological Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1456846

Unroofing and Curettage for Recurrent Sacrococcygeal Pilonidal Disease

Provisionally accepted
Mehmet A. Koc Mehmet A. Koc 1Haydar Celasin Haydar Celasin 2Kaan Sunter Kaan Sunter 1Cihangir Akyol Cihangir Akyol 1Ethem I. Gecim Ethem I. Gecim 1*
  • 1 Ankara University, Ankara, Türkiye
  • 2 Lokman Hekim University, Ankara, Ankara, Türkiye

The final, formatted version of the article will be published soon.

    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 minutes. 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 to 160.9 months).Unroofing curettage stands out as a low-recurrence approach, likely to persist as a treatment method, especially for a selected group with recurrence.

    Keywords: Hacettepe Mahallesi Talatpaşa Bulvarı, No:82 06230, Ankara, Turkey sacrococcygeal pilonidal disease, recurrent, Unroofing, curettage sacrococcygeal pilonidal disease, Curettage

    Received: 29 Jun 2024; Accepted: 06 Nov 2024.

    Copyright: © 2024 Koc, Celasin, Sunter, Akyol and Gecim. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Ethem I. Gecim, Ankara University, Ankara, Türkiye

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.