Retrospective analysis of risk factors according to the staging system in Pilonidal Sinus patients

Abstract

Aim: Pilonidal sinus disease is a surgical disease that usually occurs in young men with sinus tracts in natal cleft. There are also risk factors such as obesity, family history, hairy body structure and body hygiene. The stage of the disease is also an effective factor in treatment planning. In our study, we performed a retrospective analysis according to the staging system of the patients we operated for pilonidal sinus. Materials and Methods: A total of 159 patients who were operated with the diagnosis of pilonidal sinus between July 2016 and August 2017 were included in the study. The patients were evaluated according to the staging system in terms of age, gender, length of stay, body mass index (BMI), history of abscess drainage, duration of complaints, family history and morbidity. Results: The patients were between 18-43 years old. The mean age was 23,0. 130 (81.8%) of the cases were male and 29 (18.2%) were female. Number of patients with stage I was 35, number of patients with stage IIA was 49, number of patients with stage IIB was 18, number of patients with stage III was 44, number of patients with stage IV was 3 and number of patients with stage R was 10. Statistically significant correlation was found between disease stage and BMI, duration of complaints, family history and duration of hospitalization (p<0,05). Statistically significant correlation wasn't found between disease stage and age and morbidity (p>0,05). Conclusions: BMI, duration of complaints and family history effect the stage of pilonidal sinus disease. Also, the increasing stage of the disease is prolonged hospital stay.