title: Tension-free primary closure for the treatment of pilonidal disease.
abstract: OBJECTIVE
  Pilonidal disease (PD) is a common disorder that usually affects young population and generally seen in intergluteal region. Conservative and surgical treatment options have been utilized. Many surgical techniques including primary closure, marsupialization and flap procedures have been described. The present study aims to evaluate the optimal surgical method for the treatment of PD.
  
  
  METHODS
  A total of 151 patients underwent pilonidal disease surgery between January 2007 and September 2014 were enrolled in this study. Patients were compared according to age, sex, operation time, length of
  
  
  RESULTS
  A total of 151 patients with a mean age of 25.18 years (range 14-66) presented with pilonidal disease were evaluated. Primary closure (PC) and tension-free primary closure (TFPC) were performed in 105 (69.5%) and 46 (30.5%) patients, respectively. There was no statistical difference between groups according to age, sex, operation time and length of hospital stay. Only 9 patients (8.6%) in PC and 3 patients (6.5%) in TFPC have postoperative recurrent disease. of 17 patients (7.9%) dehiscence was seen, 15 (14.3%) were in PC group and 2 (4.3%) were in TFPC group. Postoperative seroma or wound infection was seen in 16 patients (10.6%).
  
  
  CONCLUSIONS
  Tension-free primary closure is a method that is effective as primary closure.
  
  
  BACKGROUND
  Modified primary closure, Pilonidal disease, Primary closure.
authors.forename: Ilker Murat
authors.initials: IM
authors.lastname: Arer
authors.forename: Hakan
authors.initials: H
authors.lastname: Yabanoglu
authors.forename: Kenan
authors.initials: K
authors.lastname: Caliskan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010864:Pilonidal Sinus / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D012189:Retrospective Studies; D058106:Wound Closure Techniques; D055815:Young Adult