{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T07:03:39Z","timestamp":1760598219914,"version":"3.41.2"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  BACKGROUND: Surgical treatment for pilonidal abscess is the gold standard, but not yet well codified. Different techniques proposed can be conservative or radical.  AIMS: The aim of our study was to compare postoperative outcomes of both methods in one-stage treatment strategy.  METHODS: This is a comparative study including patients operated on for pilonidal abscess, with a satisfactory postoperative follow-up, over a period of 4 years. We looked for the occurrence of postoperative recurrence in the medical records or by interviewing reachable patients.  RESULTS: We analyzed 57 patients: 33 males and 24 females. The mean age was 26.9\u00b110 years. The type of operation was excision in 46 (81%) cases and incision in 11 (19%) cases associated with curettage in three cases and drainage in 1 case. There was no statistically significant relationship between the type of surgery and the occurrence of postoperative surgical complications (p=1) and hospital stay (p=0.4). Excision of pilonidal abscess was significantly associated with a longer time to return to activity (p=0.04). Conservative surgery was significantly associated with faster healing of the surgical wound (p&lt;0.001). The recurrence rate was 19% in radical surgery and 54% in conservative surgery. Radical surgery was significantly associated with a lower recurrence rate than incision procedure (p=0.02).  CONCLUSIONS: Excision of pilonidal abscess was the common technique in our series, with a significantly lower rate of recurrence of the disease than after incision. However, the long convalescence following excision and the longer operating time, particularly in an emergency context, may sometimes lead to choosing conservative surgery.<\/jats:p>","DOI":"10.1590\/0102-672020220002e1713","type":"journal-article","created":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T16:32:57Z","timestamp":1671467577000},"source":"Crossref","is-referenced-by-count":5,"title":["RADICAL VERSUS CONSERVATIVE METHODS IN ONE-STAGE PILONIDAL ABSCESS SURGERY: THE EXPERIENCE OF A TUNISIAN CENTER"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1643-4204","authenticated-orcid":false,"given":"Mohamed Fares","family":"Mahjoubi","sequence":"first","affiliation":[{"name":"Charles Nicolle Hospital,  Tunisia; University Tunis El Manar,  Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9301-2681","authenticated-orcid":false,"given":"Mehdi","family":"Ben-Latifa","sequence":"additional","affiliation":[{"name":"Sahloul Hospital,  Tunisia; University of Sousse,  Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0312-3386","authenticated-orcid":false,"given":"Yasser","family":"Karoui","sequence":"additional","affiliation":[{"name":"Charles Nicolle Hospital,  Tunisia; University Tunis El Manar,  Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3844-1154","authenticated-orcid":false,"given":"Bochra","family":"Rezgui","sequence":"additional","affiliation":[{"name":"Charles Nicolle Hospital,  Tunisia; University Tunis El Manar,  Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6925-1700","authenticated-orcid":false,"given":"Amel","family":"Ben-Belaid","sequence":"additional","affiliation":[{"name":"University Tunis El Manar,  Tunisia; Regional Hospital of Jendouba,  Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3949-2669","authenticated-orcid":false,"given":"Nada","family":"Essid","sequence":"additional","affiliation":[{"name":"Charles Nicolle Hospital,  Tunisia; University Tunis El Manar,  Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6543-4756","authenticated-orcid":false,"given":"Ali","family":"Ben-Ali","sequence":"additional","affiliation":[{"name":"Sahloul Hospital,  Tunisia; University of Sousse,  Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3346-4170","authenticated-orcid":false,"given":"Mounir","family":"Ben-Moussa","sequence":"additional","affiliation":[{"name":"Charles Nicolle Hospital,  Tunisia; University Tunis El Manar,  Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1002\/bjs.1800770203","article-title":"Pilonidal sinus: finding the right track for treatment","volume":"77","author":"Allen-Mersh TG","year":"1990","journal-title":"Br J Surg"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1111\/j.1445-2197.1987.tb01298.x","article-title":"The management of patients with pilonidal disease \u2013a comparative study","volume":"57","author":"Bissett IP","year":"1987","journal-title":"Aust N Z J Surg"},{"issue":"3","key":"ref3","first-page":"201","article-title":"The natural history of the post anal (pilonidal) sinus","volume":"66","author":"Clothier PR","year":"1984","journal-title":"Ann R Coll Surg Engl"},{"issue":"3","key":"ref4","first-page":"170","article-title":"The use of fusidic acid gel in pilonidal abscess treatment: cure, recurrence and failure rates","volume":"68","author":"Courtney SP","year":"1986","journal-title":"Ann R Coll Surg Engl"},{"issue":"4","key":"ref5","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.jviscsurg.2013.05.006","article-title":"Pilonidal sinus disease","volume":"150","author":"De Parades V","year":"2013","journal-title":"J Visc Surg"},{"issue":"1","key":"ref6","first-page":"20","article-title":"Five-year follow-up and recurrence rates following surgery for acute and chronic pilonidal disease: a survey of 421 cases","volume":"28","author":"Fahrni GT","year":"2016","journal-title":"Wounds"},{"issue":"2","key":"ref7","first-page":"77","article-title":"Pilonidal sinus disease: comparison among various methods of treatment and a survey of 160 patients","volume":"37","author":"Golz A","year":"1980","journal-title":"Curr Surg"},{"issue":"1","key":"ref8","first-page":"9","article-title":"Acute pilonidal abscess","volume":"150","author":"Hanley PH","year":"1980","journal-title":"Surg Gynecol Obstet"},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.ijsu.2005.12.005","article-title":"The comparison between drainage, delayed excision and primary closure with excision and secondary healing in management of pilonidal abscess","volume":"4","author":"Hosseini SV","year":"2006","journal-title":"Int J Surg"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1002\/bjs.1800750122","article-title":"Prognosis after simple incision and drainage for a first-episode acute pilonidal abscess","volume":"75","author":"Jensen SL","year":"1988","journal-title":"Br J Surg"},{"issue":"4","key":"ref11","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1002\/bjs.1800720418","article-title":"Chronic pilonidal disease: a randomized trial with a complete 3-year follow-up","volume":"72","author":"Kronborg O","year":"1985","journal-title":"Br J Surg"},{"issue":"7","key":"ref12","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1097\/DCR.0000000000001121","article-title":"Pilonidal disease: management and definitive treatment","volume":"61","author":"Kuckelman JP","year":"2018","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/S2468-9114(18)30010-0","article-title":"Le kyste pilonidal","volume":"2","author":"La Torre V","year":"2018","journal-title":"Rev Francoph Cicatrisation"},{"issue":"4","key":"ref14","first-page":"321","article-title":"Results of different types of operation for pilonidal sinus","volume":"140","author":"Lamke LO","year":"1974","journal-title":"Acta Chir Scand"},{"issue":"6","key":"ref15","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1002\/bjs.1800820612","article-title":"Total excision versus non-resectional methods in the treatment of acute and chronic pilonidal disease","volume":"82","author":"Matter I","year":"1995","journal-title":"Br J Surg"},{"issue":"7","key":"ref16","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1002\/bjs.1800710731","article-title":"Partial closure and other techniques in pilonidal surgery: an assessment of 157 cases","volume":"71","author":"McLaren CA","year":"1984","journal-title":"Br J Surg"},{"issue":"10","key":"ref17","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1046\/j.1365-2044.2003.03401.x","article-title":"Sacrococcygeal local anaesthesia versus general anaesthesia for pilonidal sinus surgery: a prospective randomised trial","volume":"58","author":"Naja MZ","year":"2003","journal-title":"Anaesthesia"},{"issue":"12","key":"ref18","doi-asserted-by":"crossref","first-page":"1619","DOI":"10.1007\/s00384-011-1169-9","article-title":"Management of sacrococcygeal pilonidal sinus disease: a snapshot of current practice","volume":"26","author":"Shabbir J","year":"2011","journal-title":"Int J Colorectal Dis"},{"issue":"9","key":"ref19","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1097\/DCR.0b013e31829d2616","article-title":"Practice parameters for the management of pilonidal disease","volume":"56","author":"Steele SR","year":"2013","journal-title":"Dis Colon Rectum"},{"issue":"2","key":"ref20","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s10151-011-0684-6","article-title":"Does pilonidal abscess heal quicker with off-midline incision and drainage?","volume":"15","author":"Webb PM","year":"2011","journal-title":"Tech Coloproctol"},{"issue":"8","key":"ref21","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1002\/bjs.1800640808","article-title":"Foam elastomer dressing in the management of open granulating wounds: experience with 250 patients","volume":"64","author":"Wood RA","year":"1977","journal-title":"Br J Surg"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":["M\u00c9TODOS RADICAIS VERSUS M\u00c9TODOS CONSERVADORES EM UMA ETAPA DA CIRURGIA DE ABSCESSO PILONIDAL: A EXPERI\u00caNCIA DE UM CENTRO TUNISIANO"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-67202022000100340&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T16:33:11Z","timestamp":1671467591000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202022000100340&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":21,"alternative-id":["S0102-67202022000100340"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020220002e1713","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"type":"electronic","value":"2317-6326"},{"type":"print","value":"0102-6720"}],"subject":[],"published":{"date-parts":[[2022]]},"article-number":"e1713"}}