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Purpose <p>The purpose of this study is to investigate the recurrence rates for the treatment of pilonidal sinus disease (PSD) in Turkey and the factors associated with recurrence of PSD after surgery on a nationwide scale.</p> Methods <p>This national, multicenter, database review was conducted in Turkey by the PISI TURKEY Research Group, and included recipients of PSD surgery in 41 select hospitals in Turkey, between January 2019 and January 2020. Data were collected by completion of standardized data forms. Sociodemographic and anthropometric data, comorbidities, PSD type, previous PSD interventions, index PSD intervention, recurrence, and complications were collected from baseline to postoperative 12&#xa0;months.</p> Results <p>The data of 1662 patients from 41 centers were analyzed. The median age was 25 (21–32) years, and 80.26% of the cases were male. The recurrence rate following index operations was 6.26% in the 12-month period. Age (<i>p</i> = 0.594) and sex distribution (<i>p</i> = 0.441) were similar in patients with and without recurrence. The recurrent group had significantly higher frequencies of type V PSD (<i>p</i> &lt; 0.001), wound site infection (<i>p</i> &lt; 0.001), and wound separation (<i>p</i> &lt; 0.001), whereas the non-recurrent group had a significantly higher frequency of type III PSD (<i>p</i> &lt; 0.001). Multivariable logistic regression revealed that prior recurrence, postoperative wound site infection, and postoperative wound separation were independently associated with recurrence.</p> Conclusions <p>The recurrence rate after PSD surgery in Turkey was close to the lower ranges reported in prior literature. Turkish patients with a history of prior recurrence, postoperative wound site infection, or postoperative wound separation should be considered to have higher risks for recurrence.</p>

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Investigating recurrence in pilonidal sinus disease: results of a nationwide, multicenter study in Turkey (PISI TURKEY)

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  • 发表日期：

    2025年9月11日

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  • Ali Yalcinkaya,
  • Ahmet Yalcinkaya,
  • Can Sahin,
  • Bengi Balci,
  • Elif Ozeller,
  • Ece Ozturk,
  • Gulsum Sueda Kayacan,
  • Berkay Enes Karaca,
  • Ahmet Faruk Oyanik,
  • Aydin Yavuz,
  • Erdinc Kamer,
  • Sezai Leventoglu,
  • Sezai Leventoglu,
  • Bengi Balci,
  • Ali Yalcinkaya,
  • Alp Ozgun Borcek,
  • Elif Ozeller,
  • Ece Ozturk,
  • Gulsum Sueda Kayacan,
  • Berkay Enes Karaca,
  • Ahmet Faruk Oyanik,
  • Omer Faruk Gul,
  • Basak Bolukbasi,
  • Huseyin Gobut,
  • Cagri Buyukkasap,
  • Aydin Yavuz,
  • Dara Aydin,
  • Zeynep Akdagcik,
  • Alina Pataeva,
  • Douigou Hasan,
  • Omar Hussein,
  • Arda Ozgur Ozturk,
  • Cem Arda Elumar,
  • Ali Derman Dere,
  • Asra Zeynep Balci,
  • Rasim Ozturk,
  • Ali Derman Dere,
  • Asra Zeynep Balci,
  • Rasim Ozturk,
  • Yasar Copelci,
  • Murat Kartal,
  • Serkan Tayar,
  • Mustafa Yeni,
  • Tolga Kalayci,
  • Ramazan Yavuz,
  • Bulent Calik,
  • Semra Demirli Atici,
  • Selen Ozturk,
  • Gizem Kilinc,
  • Korhan Tuncer,
  • Cengiz Aydin,
  • Mustafa Yener Uzunoglu,
  • Yildiz,
  • Aybala Yildiz,
  • Can Sahin,
  • Mehmet Caglikulekci,
  • Elbrus Zarbaliyev,
  • Murat Sevmis,
  • Baris Sevinc,
  • Nurullah Damburaci,
  • Omer Karahan,
  • Ozgen Isik,
  • Said Kural,
  • Xhenet Hysejni,
  • Ahmet Aktas,
  • Baris Yildiz,
  • Gultekin Ozan Kucuk,
  • Ahmet Can Sari,
  • Mert Candan,
  • Mehmet Mahir Ozmen,
  • Cem Emir Guldogan,
  • Emre Gundogdu,
  • Munevver Moran,
  • Mevlut Recep Pekcici,
  • Saygin Altiner,
  • Enes Cebeci,
  • Tugba Yigit,
  • Bedri Burak Sucu,
  • Mert Col,
  • Omer Faruk,
  • Ozkan Hanife,
  • Seyda Ulgur,
  • Murat Kalin,
  • Emre Furkan Kirkan,
  • Abdullah Yildiz,
  • Sema Yukseksag,
  • Cagri Buyukkasap,
  • Erdinc Kamer,
  • Mesut Ozogul,
  • Nihan Acar,
  • Melek Gokova Bekler,
  • Arif Atay,
  • Halis Bag,
  • Server Sezgin Uludag,
  • Ahmet Necati Sanli,
  • Sefa Ergun,
  • Ergin Erginoz,
  • Veysi Basbayandur,
  • Mehmet Faik Ozcelik,
  • Ahmet Askar,
  • Yuksel Altinel,
  • Adnan Hacim,
  • Serhat Meric,
  • Merve Tokocin,
  • Talar Aktokmakyan,
  • Yunus Aktimur,
  • Kamil Ozdogan,
  • Fikret Calikoglu,
  • Tugba Koc Calikoglu,
  • Ahmet Barcin,
  • Ahmed Salhat,
  • Guray Durmaz,
  • Volkan Ozben,
  • Erman Aytac,
  • Zumrud Aliyeva,
  • Arda Ulas Mutlu,
  • Mert Tanal,
  • Mustafa Fevzi Celayir,
  • Aydin Eray,
  • Tufan Ali Yuksel,
  • Elif Baran,
  • Banu Yigit,
  • Erhan Eroz,
  • Aykhan Abbasov,
  • Hakan Yanar,
  • Huseyin Onur Aydin,
  • Murathan Erkent,
  • Tugan Tezcaner,
  • Tevfik Avci,
  • Murat Kus,
  • Mehmet Abdussamet Bozkurt,
  • Adem Ozcan,
  • Nezihe Berrin Dodur Onalan,
  • Serhan Yilmaz,
  • Yasin Kara,
  • Ali Kocatas,
  • Fatih Yanar,
  • Ali Fuat Kaan Gok,
  • Irem Karatas,
  • Berke Sengun,
  • Ilknur Erenler Bayraktar,
  • Onur Bayraktarn,
  • Zulal Emsal,
  • Irem Dalkilic,
  • Cengiz Dibekoglu,
  • Sami Acar,
  • Erman Ciftci,
  • Yunus Yapalak,
  • Cihad Tatar,
  • Mert Mahsuni Sevinc,
  • Ali Emre Nayci,
  • Egemen Saygili,
  • Yavuz Selim Komek,
  • Bayram Kaymak,
  • Fatih Altintoprak,
  • Emrah Akin,
  • Necattin Firat,
  • Emre Gonullu,
  • Ugur Can Dulger,
  • Atilla Kurt,
  • Sinan Soylu,
  • Musa Serin,
  • Omer Topcu,
  • Ali Cihat Yildirim,
  • Mehmet Fatih Ekici,
  • Sezgin Zeren,
  • Ismail Ahmet Bilgin,
  • Tayfun Karahasanoglu,
  • Ismail Hamzaoglu,
  • Afag Aghayeva,
  • Bilgi Baca,
  • Inci Sahin,
  • Osman Bozbiyik,
  • Mustafa Ozgur Kilincarslan,
  • Mustafa Ali Korkut,
  • Erhan Akgun,
  • Cemil Caliskan,
  • Tayfun Yoldas,
  • Timucin Erol,
  • Hilmi Anil Dincer,
  • Omer Cennet,
  • Muhammed Salih Suer,
  • Muhammet Bunyamin Dalkilic,
  • Ibrahim Alkan,
  • Busenur Kirimtay,
  • Emre Balik,
  • Emre Ozoran,
  • Ibrahim Halil Ozata,
  • Derya Salim Uymaz,
  • Tutku Tufekci,
  • Salih Nafiz Karahan,
  • Orhan Agcaoglu,
  • Naciye Cigdem Arslan,
  • Mehmet Yilmaz,
  • Orhan Ureyen,
  • Can Murat Kale,
  • Enver Ilhan,
  • Eray Kara,
  • Semra Tutcu Sahin,
  • Onur Haspolat,
  • Alperen Dalkiran,
  • Ergun Yuksel,
  • Mehmet Kocaoglu,
  • Omer Tasan,
  • Cevdet Tokat,
  • Cihan Ozen,
  • Alptug Mertcan Koc

摘要

Purpose

The purpose of this study is to investigate the recurrence rates for the treatment of pilonidal sinus disease (PSD) in Turkey and the factors associated with recurrence of PSD after surgery on a nationwide scale.

Methods

This national, multicenter, database review was conducted in Turkey by the PISI TURKEY Research Group, and included recipients of PSD surgery in 41 select hospitals in Turkey, between January 2019 and January 2020. Data were collected by completion of standardized data forms. Sociodemographic and anthropometric data, comorbidities, PSD type, previous PSD interventions, index PSD intervention, recurrence, and complications were collected from baseline to postoperative 12 months.

Results

The data of 1662 patients from 41 centers were analyzed. The median age was 25 (21–32) years, and 80.26% of the cases were male. The recurrence rate following index operations was 6.26% in the 12-month period. Age (p = 0.594) and sex distribution (p = 0.441) were similar in patients with and without recurrence. The recurrent group had significantly higher frequencies of type V PSD (p < 0.001), wound site infection (p < 0.001), and wound separation (p < 0.001), whereas the non-recurrent group had a significantly higher frequency of type III PSD (p < 0.001). Multivariable logistic regression revealed that prior recurrence, postoperative wound site infection, and postoperative wound separation were independently associated with recurrence.

Conclusions

The recurrence rate after PSD surgery in Turkey was close to the lower ranges reported in prior literature. Turkish patients with a history of prior recurrence, postoperative wound site infection, or postoperative wound separation should be considered to have higher risks for recurrence.