Background: The aim of this study is to evaluate the long-term results of Muzi’s tension free primary closure technique for pilonidal sinus disease (PSD), in terms of patients’ discomfort and recurrence rate. Methods: This study is a retrospective analysis of prospectively collected data. Five hundred fourteen patients were treated. Postoperative pain (assessed by a visual analog scale, VAS), complications, time needed to return to full-day activities, and recurrence rate were recorded. At 12, 22, and 54 months postoperative, patients’ satisfaction was evaluated by a questionnaire scoring from 0 (not satisfied) to 12 (greatly satisfied). Results: The median operative time was 30 min. The overall postoperative complication rate was 2.52%. Median VAS score was 1. The mean of resumption to normal activity was 8.1 days. At median follow-up of 49 months, recurrence rate was 0.4% (two patients). At 12 months’ follow-up, the mean satisfaction score was 10.3 ± 1.7. At 22 and 54 months’ follow-up, the score was confirmed. Conclusions: Muzi’s tension free primary closure technique has proved to be an effective treatment, showing in the long-term follow-up low recurrence rate and high degree of patient satisfaction. Therefore, we strongly recommend this technique for the treatment of PSD.

Muzi’s tension free primary closure of pilonidal sinus disease: updates on long-term results on 514 patients / Muzi, Marco Gallinella; Mascagni, Pietro; Buonomo, Oreste; Cianfarani, Agnese; Mosconi, Claudia; Colella, Marco; Balla, Andrea; Petrella, Giuseppe; Quaresima, Silvia; Sileri, Pierpaolo. - In: JOURNAL OF GASTROINTESTINAL SURGERY. - ISSN 1091-255X. - STAMPA. - 22:1(2018), pp. 133-137. [10.1007/s11605-017-3502-2]

Muzi’s tension free primary closure of pilonidal sinus disease: updates on long-term results on 514 patients

Muzi, Marco Gallinella;Mascagni, Pietro;Balla, Andrea;Quaresima, Silvia;
2018

Abstract

Background: The aim of this study is to evaluate the long-term results of Muzi’s tension free primary closure technique for pilonidal sinus disease (PSD), in terms of patients’ discomfort and recurrence rate. Methods: This study is a retrospective analysis of prospectively collected data. Five hundred fourteen patients were treated. Postoperative pain (assessed by a visual analog scale, VAS), complications, time needed to return to full-day activities, and recurrence rate were recorded. At 12, 22, and 54 months postoperative, patients’ satisfaction was evaluated by a questionnaire scoring from 0 (not satisfied) to 12 (greatly satisfied). Results: The median operative time was 30 min. The overall postoperative complication rate was 2.52%. Median VAS score was 1. The mean of resumption to normal activity was 8.1 days. At median follow-up of 49 months, recurrence rate was 0.4% (two patients). At 12 months’ follow-up, the mean satisfaction score was 10.3 ± 1.7. At 22 and 54 months’ follow-up, the score was confirmed. Conclusions: Muzi’s tension free primary closure technique has proved to be an effective treatment, showing in the long-term follow-up low recurrence rate and high degree of patient satisfaction. Therefore, we strongly recommend this technique for the treatment of PSD.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11573/1134336
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