title: Volume of the excised specimen and prediction of surgical site infection in pilonidal sinus procedures (surgical site infection after pilonidal sinus surgery).
abstract: OBJECTIVE
  In previous studies, a lack of antibiotic prophylaxis, smoking and obesity were described as factors that contribute to the development of a surgical site infection (SSI) after pilonidal disease (PD) surgery. In this study, we evaluated whether the volume of the excised specimen (VS) was a risk factor for SSI.
  
  
  METHODS
  The patients who underwent surgical treatment for PD from January 2010 through December 2011 were retrospectively evaluated in terms of SSI, time off work and healing time. The single and multiple explanatory variable(s) logistic regression analyses were performed.
  
  
  RESULTS
  One-hundred and sixty patients were included in the study. SSI occurred in 19 (11.9 %) patients. In the multiple explanatory variable logistic regression analysis, VS was emerged as a risk factor for SSI (OR 18.78, 95 % CI 2.38-148.10; P < 0.005). The healing time and time off work were longer when a SSI occurred (P < 0.001).
  
  
  CONCLUSIONS
  This study suggests that the rate of SSI after the surgical treatment of PD is higher in patients with a high VS. A SSI significantly prolongs the healing time. Surgeons can use this data for assessing the SSI risk. As a preventive measure, prolonged use of an empiric broad-spectrum antibiotic may be beneficial in patients with a high VS.
authors.affiliation: Department of Surgery, Selcuklu Medical School Selcuk University, Genel Cerrahi AD, 42075, Konya, Turkey, halptekin@hotmail.com.
authors.forename: Husnu
authors.initials: H
authors.lastname: Alptekin
authors.forename: Huseyin
authors.initials: H
authors.lastname: Yilmaz
authors.forename: Seyit Ali
authors.initials: SA
authors.lastname: Kayis
authors.forename: Mustafa
authors.initials: M
authors.lastname: Sahin
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019072:Antibiotic Prophylaxis; D005260:Female; D005544:Forecasting; D006801:Humans; D016015:Logistic Models; D008297:Male; D010864:Pilonidal Sinus / Q000473:pathology* / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D013529:Surgical Wound Dehiscence / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000209:etiology* / Q000517:prevention & control; D013997:Time Factors; D014945:Wound Healing; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents