TY - JOUR
T1 - Pilonidal disease in a military population
T2 - How far have we really come?
AU - Fitzpatrick, Emilie B.
AU - Chesley, Patrick M.
AU - Oguntoye, Morohunranti O.
AU - Maykel, Justin A.
AU - Johnson, Eric K.
AU - Steele, Scott R.
PY - 2014/6
Y1 - 2014/6
N2 - BACKGROUND: Pilonidal disease (PD) has a long connection with military personnel, even nicknamed "jeep disease" during World War II. The aim of this study was to identify factors associated with recurrence and complications after surgery in a military population. METHODS: A retrospective cohort analysis of operative therapy for PD at a single institution from 2005 to 2011 was conducted. Patient demographics, disease characteristics, and surgical methods were assessed for the primary outcomes of recurrence and morbidity. RESULTS: A total of 151 patients with PD were identified, who underwent excision (45.7%), excision with primary closure (29.8%), and incision and drainage (9.9%). Overall recurrence and morbidity rates were 27.2% and 34.4%, respectively. Black race, chronic disease, wound infection, and infection and drainage were associated with recurrence (P <.05), and excision with primary closure was associated with increased complications (P <.001). CONCLUSIONS: PD remains a significant source of morbidity and recurrence among military personnel. Certain patient-related and disease-related factors portend a worse prognosis, with black race and operative method the strongest predictors of outcomes.
AB - BACKGROUND: Pilonidal disease (PD) has a long connection with military personnel, even nicknamed "jeep disease" during World War II. The aim of this study was to identify factors associated with recurrence and complications after surgery in a military population. METHODS: A retrospective cohort analysis of operative therapy for PD at a single institution from 2005 to 2011 was conducted. Patient demographics, disease characteristics, and surgical methods were assessed for the primary outcomes of recurrence and morbidity. RESULTS: A total of 151 patients with PD were identified, who underwent excision (45.7%), excision with primary closure (29.8%), and incision and drainage (9.9%). Overall recurrence and morbidity rates were 27.2% and 34.4%, respectively. Black race, chronic disease, wound infection, and infection and drainage were associated with recurrence (P <.05), and excision with primary closure was associated with increased complications (P <.001). CONCLUSIONS: PD remains a significant source of morbidity and recurrence among military personnel. Certain patient-related and disease-related factors portend a worse prognosis, with black race and operative method the strongest predictors of outcomes.
KW - Complications
KW - Military
KW - Pilonidal abscess
KW - Pilonidal cyst
KW - Pilonidal disease
KW - Recurrence
UR - http://www.scopus.com/inward/record.url?scp=84901831007&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84901831007&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2013.07.038
DO - 10.1016/j.amjsurg.2013.07.038
M3 - Article
C2 - 24239526
AN - SCOPUS:84901831007
SN - 0002-9610
VL - 207
SP - 907
EP - 914
JO - American journal of surgery
JF - American journal of surgery
IS - 6
ER -