title: The risk of recurrence of Pilonidal disease after surgical management.
abstract: To estimate the rate of the Pilonidal disease (PND) recurrence and to evaluate the associated predictors of the recurrence. Methods: This is a retrospective study, conducted at King Fahd Hospital of the University in Alkhobar, Kingdom of Saudi Arabia over a period of 10 years from January 2003 until December 2013.  Results: A study of 366 with PND, 19 of those were identified as secondary cases and excluded. Most involved 347 patients were Saudi (82.1%), single (87%), and men (93.1%). The mean age of the sample was 23 ± 8 years, and the mean body mass index (BMI) was 29.7 ± 6 Kg/m2. Overall recurrence rate after the surgical management was found in 25 patients (7.2%). By logistic regression to the recurrence group, young age group, prolong sitting and BMI may increase the likelihood of the disease recurrence. Conclusion: Pilonidal disease still has challenges in its management. Treatment should depend on the extent and severity of the disease. The recurrence rate in this study is approximately 7.2%. The most predominate factors associated with recurrence were prolong sitting job, young age group, and high BMI.
authors.affiliation: Department of Surgery, King Fahd Hospital of the University, University of Dammam, Alkhobar, Kingdom of Saudi Arabia. E-mail. fmalmajid@uod.edu.sa.
authors.forename: Feras M
authors.initials: FM
authors.lastname: Almajid
authors.forename: Abdullah A
authors.initials: AA
authors.lastname: Alabdrabalnabi
authors.forename: Khalifa Abdulaziz
authors.initials: KA
authors.lastname: Almulhim
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D010864:Pilonidal Sinus / Q000503:physiopathology* / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D055815:Young Adult