Abstract
Background
Pilonidal disease (PD) has a long connection with military personnel, even nicknamed
“jeep disease” during World War II. The aim of this study was to identify factors
associated with recurrence and complications after surgery in a military population.
Methods
A retrospective cohort analysis of operative therapy for PD at a single institution
from 2005 to 2011 was conducted. Patient demographics, disease characteristics, and
surgical methods were assessed for the primary outcomes of recurrence and morbidity.
Results
A total of 151 patients with PD were identified, who underwent excision (45.7%), excision
with primary closure (29.8%), and incision and drainage (9.9%). Overall recurrence
and morbidity rates were 27.2% and 34.4%, respectively. Black race, chronic disease,
wound infection, and infection and drainage were associated with recurrence (P < .05), and excision with primary closure was associated with increased complications
(P < .001).
Conclusions
PD remains a significant source of morbidity and recurrence among military personnel.
Certain patient-related and disease-related factors portend a worse prognosis, with
black race and operative method the strongest predictors of outcomes.
Keywords
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Article info
Publication history
Published online: November 18, 2013
Received in revised form:
June 27,
2013
Received:
April 1,
2013
Footnotes
The authors declare no conflicts of interest.
Identification
Copyright
Published by Elsevier Inc.
