title: Less is more: "incision and curettage" as an optimal procedure for recurrent pilonidal disease.
abstract: OBJECTIVE
  Although pilonidal disease has been a well-known entity for more than a century, recurrence of pilonidal disease is still not rare. The optimal surgical approach to recurrent disease is under debate. In this study, we aimed to investigate the efficacy of "incision and curettage" procedure for recurrent pilonidal disease.
  
  
  METHODS
  From May 2009 to May 2013, 42 patients (37 male/5 female) underwent surgical treatment for recurrent pilonidal disease. Incision and curettage of granulation tissue, hair and debris in the cavity were performed in all cases. Data collection included demographics, visual analogue scale (VAS) score, hospital stay, return to daily activities (lying, sitting down in comfort) and work, and complete wound healing time.
  
  
  RESULTS
  Mean operating time was 16.6±4.7 (10-24) minutes. Mean pain score was 1.4±1.1 (0-5) with VAS. The mean duration of returning to daily activities such as comfortable lying down, sitting and returning to work were 1.6±0.8 (1-4) days, and 3.3±2.3 (1-15) days, and 10.2±5.4 (5-33) days, respectively. The mean wound healing time was 19.9±7.8 (7-52) days. During the three-year follow-up period, no recurrence was observed.
  
  
  CONCLUSIONS
  "Incision and curettage" may be performed as first-line treatment for recurrent cases. It does not require surgical skill and can be easily applied in a short time.
  
  
  CONCLUSIONS
  This simple surgical option, incision curettage provides short hospital stay and quick return to daily activities, in addition to patient comfort and satisfaction.
  
  
  BACKGROUND
  Pilonidal sinus, Recurrence, Sacrococcygeal.
authors.forename: Uygar
authors.initials: U
authors.lastname: Demir
authors.forename: Pinar
authors.initials: P
authors.lastname: Yazici
authors.forename: Ozgur
authors.initials: O
authors.lastname: Bostanci
authors.forename: Cemal
authors.initials: C
authors.lastname: Kaya
authors.forename: Riza Gurhan
authors.initials: RG
authors.lastname: Isil
authors.forename: Mehme
authors.initials: M
authors.lastname: T Mihmanli
mesh_terms: D000293:Adolescent; D000328:Adult; D003475:Curettage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain / Q000453:epidemiology; D010864:Pilonidal Sinus / Q000601:surgery*; D020127:Recovery of Function; D012008:Recurrence; D013524:Surgical Flaps; D014945:Wound Healing; D055815:Young Adult