Patience is a virtue: Multiple preoperative visits are associated with decreased recurrence in pediatric pilonidal disease
This study aimed to compare preoperative management strategies for patients undergoing trephination for pilonidal disease and evaluate risk factors for recurrence. A retrospective review was performed of children undergoing index surgical treatment with trephination for pilonidal disease between Sep...
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| Veröffentlicht in: | Journal of pediatric surgery 2021-05, Vol.56 (5), p.888-891 |
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| container_title | Journal of pediatric surgery |
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| creator | Prieto, James M. Thangarajah, Hariharan Ignacio, Romeo C. Bickler, Stephen W. Kling, Karen M. Saenz, Nicholas C. Garcia, Stephanie V. Lazar, David A. |
| description | This study aimed to compare preoperative management strategies for patients undergoing trephination for pilonidal disease and evaluate risk factors for recurrence.
A retrospective review was performed of children undergoing index surgical treatment with trephination for pilonidal disease between September 2017 and April 2019. Intraoperative and postoperative management were standardized. Demographic and perioperative data were collected and analyzed.
One-hundred twenty patients were identified with a median follow-up time of 7.5 months (interquartile range 4.1–13.2 months). Overall, 24 (20%) patients had a postoperative recurrence of pilonidal disease. Patients with multiple preoperative surgery clinic visits were less likely to have recurrent disease compared to those seen only once preoperatively (11% vs 26%, p = 0.040). Compared to patients without recurrence, those who recurred went to the operating room sooner from the time of initial surgical consultation (32 days vs 54 days, p |
| doi_str_mv | 10.1016/j.jpedsurg.2020.09.013 |
| format | Article |
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A retrospective review was performed of children undergoing index surgical treatment with trephination for pilonidal disease between September 2017 and April 2019. Intraoperative and postoperative management were standardized. Demographic and perioperative data were collected and analyzed.
One-hundred twenty patients were identified with a median follow-up time of 7.5 months (interquartile range 4.1–13.2 months). Overall, 24 (20%) patients had a postoperative recurrence of pilonidal disease. Patients with multiple preoperative surgery clinic visits were less likely to have recurrent disease compared to those seen only once preoperatively (11% vs 26%, p = 0.040). Compared to patients without recurrence, those who recurred went to the operating room sooner from the time of initial surgical consultation (32 days vs 54 days, p < 0.001). Perioperative antibiotics, history of acute infection, and prior drainage procedures were not risk factors for recurrence.
Multiple preoperative clinic visits are associated with a lower recurrence rate in children undergoing trephination for pilonidal disease. An increased duration of preoperative medical management may be responsible for this finding. Prospective study is needed to confirm these findings and identify additional factors that influence recurrence.
Treatment Study.
III (Retrospective Comparative).</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2020.09.013</identifier><identifier>PMID: 33046223</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Gips ; Pilonidal ; Pilonidal disease ; Pilonidal recurrence ; Preoperative ; Trephination ; Trephine</subject><ispartof>Journal of pediatric surgery, 2021-05, Vol.56 (5), p.888-891</ispartof><rights>2020</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-10f77af3c8acc6b50e1698dcf9a401e65bb72e8dbaed66699657c985a09d7cf43</citedby><cites>FETCH-LOGICAL-c368t-10f77af3c8acc6b50e1698dcf9a401e65bb72e8dbaed66699657c985a09d7cf43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346820306606$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33046223$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Prieto, James M.</creatorcontrib><creatorcontrib>Thangarajah, Hariharan</creatorcontrib><creatorcontrib>Ignacio, Romeo C.</creatorcontrib><creatorcontrib>Bickler, Stephen W.</creatorcontrib><creatorcontrib>Kling, Karen M.</creatorcontrib><creatorcontrib>Saenz, Nicholas C.</creatorcontrib><creatorcontrib>Garcia, Stephanie V.</creatorcontrib><creatorcontrib>Lazar, David A.</creatorcontrib><title>Patience is a virtue: Multiple preoperative visits are associated with decreased recurrence in pediatric pilonidal disease</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>This study aimed to compare preoperative management strategies for patients undergoing trephination for pilonidal disease and evaluate risk factors for recurrence.
A retrospective review was performed of children undergoing index surgical treatment with trephination for pilonidal disease between September 2017 and April 2019. Intraoperative and postoperative management were standardized. Demographic and perioperative data were collected and analyzed.
One-hundred twenty patients were identified with a median follow-up time of 7.5 months (interquartile range 4.1–13.2 months). Overall, 24 (20%) patients had a postoperative recurrence of pilonidal disease. Patients with multiple preoperative surgery clinic visits were less likely to have recurrent disease compared to those seen only once preoperatively (11% vs 26%, p = 0.040). Compared to patients without recurrence, those who recurred went to the operating room sooner from the time of initial surgical consultation (32 days vs 54 days, p < 0.001). Perioperative antibiotics, history of acute infection, and prior drainage procedures were not risk factors for recurrence.
Multiple preoperative clinic visits are associated with a lower recurrence rate in children undergoing trephination for pilonidal disease. An increased duration of preoperative medical management may be responsible for this finding. Prospective study is needed to confirm these findings and identify additional factors that influence recurrence.
Treatment Study.
III (Retrospective Comparative).</description><subject>Gips</subject><subject>Pilonidal</subject><subject>Pilonidal disease</subject><subject>Pilonidal recurrence</subject><subject>Preoperative</subject><subject>Trephination</subject><subject>Trephine</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkE1PxCAQhonRuOvHX9hw9NI6lJa2njTGr2SNHvRMKEyVTXdbga7RXy_rqldPBOaZeYeHkBmDlAETp4t0MaDxo3tJM8gghToFxnfIlBWcJQXwcpdMAbIs4bmoJuTA-wVAfAa2TyacQy6yjE_J56MKFlcaqfVU0bV1YcQzej92wQ4d0sFhP6CL0Bpj1dsQMYdUed9rqwIa-m7DKzWoHSofrw716Nx25IrGJSPlrKaD7fqVNaqjxvoNekT2WtV5PP45D8nz9dXT5W0yf7i5u7yYJ5qLKiQM2rJULdeV0lo0BSATdWV0W6scGIqiacoMK9MoNEKIuhZFqeuqUFCbUrc5PyQn27mD699G9EEurdfYdWqF_ehllhcgRMnzMqJii2rXe--wlYOzS-U-JAO58S4X8te73HiXUMvoPTbOfjLGZonmr-1XdATOtwDGn64tOun1t3djo7AgTW__y_gCAeWaxA</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Prieto, James M.</creator><creator>Thangarajah, Hariharan</creator><creator>Ignacio, Romeo C.</creator><creator>Bickler, Stephen W.</creator><creator>Kling, Karen M.</creator><creator>Saenz, Nicholas C.</creator><creator>Garcia, Stephanie V.</creator><creator>Lazar, David A.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202105</creationdate><title>Patience is a virtue: Multiple preoperative visits are associated with decreased recurrence in pediatric pilonidal disease</title><author>Prieto, James M. ; Thangarajah, Hariharan ; Ignacio, Romeo C. ; Bickler, Stephen W. ; Kling, Karen M. ; Saenz, Nicholas C. ; Garcia, Stephanie V. ; Lazar, David A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-10f77af3c8acc6b50e1698dcf9a401e65bb72e8dbaed66699657c985a09d7cf43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Gips</topic><topic>Pilonidal</topic><topic>Pilonidal disease</topic><topic>Pilonidal recurrence</topic><topic>Preoperative</topic><topic>Trephination</topic><topic>Trephine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Prieto, James M.</creatorcontrib><creatorcontrib>Thangarajah, Hariharan</creatorcontrib><creatorcontrib>Ignacio, Romeo C.</creatorcontrib><creatorcontrib>Bickler, Stephen W.</creatorcontrib><creatorcontrib>Kling, Karen M.</creatorcontrib><creatorcontrib>Saenz, Nicholas C.</creatorcontrib><creatorcontrib>Garcia, Stephanie V.</creatorcontrib><creatorcontrib>Lazar, David A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Prieto, James M.</au><au>Thangarajah, Hariharan</au><au>Ignacio, Romeo C.</au><au>Bickler, Stephen W.</au><au>Kling, Karen M.</au><au>Saenz, Nicholas C.</au><au>Garcia, Stephanie V.</au><au>Lazar, David A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patience is a virtue: Multiple preoperative visits are associated with decreased recurrence in pediatric pilonidal disease</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2021-05</date><risdate>2021</risdate><volume>56</volume><issue>5</issue><spage>888</spage><epage>891</epage><pages>888-891</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>This study aimed to compare preoperative management strategies for patients undergoing trephination for pilonidal disease and evaluate risk factors for recurrence.
A retrospective review was performed of children undergoing index surgical treatment with trephination for pilonidal disease between September 2017 and April 2019. Intraoperative and postoperative management were standardized. Demographic and perioperative data were collected and analyzed.
One-hundred twenty patients were identified with a median follow-up time of 7.5 months (interquartile range 4.1–13.2 months). Overall, 24 (20%) patients had a postoperative recurrence of pilonidal disease. Patients with multiple preoperative surgery clinic visits were less likely to have recurrent disease compared to those seen only once preoperatively (11% vs 26%, p = 0.040). Compared to patients without recurrence, those who recurred went to the operating room sooner from the time of initial surgical consultation (32 days vs 54 days, p < 0.001). Perioperative antibiotics, history of acute infection, and prior drainage procedures were not risk factors for recurrence.
Multiple preoperative clinic visits are associated with a lower recurrence rate in children undergoing trephination for pilonidal disease. An increased duration of preoperative medical management may be responsible for this finding. Prospective study is needed to confirm these findings and identify additional factors that influence recurrence.
Treatment Study.
III (Retrospective Comparative).</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33046223</pmid><doi>10.1016/j.jpedsurg.2020.09.013</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of pediatric surgery, 2021-05, Vol.56 (5), p.888-891 |
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| language | eng |
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| source | Elsevier ScienceDirect Journals Complete |
| subjects | Gips Pilonidal Pilonidal disease Pilonidal recurrence Preoperative Trephination Trephine |
| title | Patience is a virtue: Multiple preoperative visits are associated with decreased recurrence in pediatric pilonidal disease |
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