Trephination Versus Wide Excision for the Treatment of Pediatric Pilonidal Disease
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Read the article on jpedsurg.org ↗Article · Jul 2019 · 1 min read
In brief
In brief
Retrospective study of 105 pediatric patients comparing trephination to wide excision for initial pilonidal disease treatment. Trephination demonstrated superior outcomes with significantly fewer wound complications (3% vs 29% open vs 17% closed) and reduced postoperative visits, suggesting it as the preferred first-line surgical approach.
Written by the GCMD Library team from the article.
Background/Purpose
To evaluate outcomes of trephination compared to wide excision in children undergoing initial surgical treatment of pilonidal disease.
Methods
A retrospective review was conducted of patients undergoing initial pilonidal excision between September 2017 and September 2018. Operations were categorized as either trephination or wide excision via an open or closed-wound technique. Outcomes were evaluated and data analyzed by chi-squared and one-way ANOVA tests.
Results
One-hundred and five patients were identified, with a mean follow-up of 4.6 months. Trephination was performed in 57% of patients, and of the remaining patients undergoing wide excision, 62% of wounds were left open. There were no demographic differences among the three groups. Compared to both the open and closed techniques, trephination was associated with fewer wound complications (17% vs 29% vs 3%, respectively, p = 0.006), and postoperative visits (4.4 vs 2.4 vs 1.4, respectively, p