The risk of recurrence of Pilonidal disease after surgical management

OBJECTIVES 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.