title: Surgical therapy for pilonidal sinus in adolescents: a retrospective study.
abstract: OBJECTIVE
  To investigate optimal surgical management of pilonidal sinus (PS) in pre-adolescent and adolescent periods in which it is less common.
  
  
  METHODS
  A retrospective study based on 25 adolescent patients with PS disease that were treated at the Department of Pediatric Surgery, Selcuk University, Konya, Turkey, between 2010 and 2013 was conducted.
  
  
  RESULTS
  Among 25 patients with PS disease 17 (68%) were males and eight (32%) females, with a mean age of 16.08 ± 1.2 years. According to the body mass index (BMI), 17 (68%) of the cases were in the normal range, 4 four (16%) of each were overweight, and obese, respectively. Twenty cases (80%) were managed with total excision and primary closure, while five (20%) cases underwent Limberg flap repair. Four patients were managed with the Limberg procedure due to very large sinuses, while a single patient underwent the procedure due to a recurrence following primary repair.
  
  
  CONCLUSIONS
  Factors that predispose patients to developing PS include an above average BMI, significant body hair, and prolonged time in a seated position. Elevated BMI as a risk factor for PS is a growing concern given the rise in obesity. Although there are various treatment modalities, total excision and primary closure has demonstrated successful outcomes.
authors: Department of Pediatric Surgery, School of Medicine, Selcuk University, Konya, Turkey.
authors: Tamer
authors: T
authors: Sekmenli
authors: Department of Pediatric Surgery, School of Medicine, Selcuk University, Konya, Turkey.
authors: Ilhan
authors: I
authors: Ciftci
mesh_terms: D000293:Adolescent; D002648:Child; D015897:Comorbidity; D062109:Dermatologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010864:Pilonidal Sinus / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome