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World Journal of Surgery

, Volume 29, Issue 4, pp 469–471 | Cite as

High Body Mass Index as a Possible Risk Factor for Pilonidal Sinus Disease in Adolescents

  • İrfan Serdar ArdaEmail author
  • L. Hakan Güney
  • Şinasi Sevmiş
  • Akgün Hiçsönmez
Original Scientific Report

Abstract

Pilonidal sinus disease (PSD) is common in adults, but it may also develop in adolescents. The intergluteal groove is a deep moist area in which broken hairs and foreign bodies can collect, often leading to infection. Only a few papers have been published considering PSD in children. For the present study, we retrospectively examined the data of operated patients with PSD. From that review, it appears that high body mass index (BMI) might be a risk factor for the development of PSD and its complications in older children. Fourteen young patients (12 males, 2 females, 12–18 years of age) underwent surgery for PSD. According to the BMI-for-age, eight of these patients (57, 1%) were overweight or obese. Five of them (35.8%) developed mild to moderate postoperative complications. Symptoms recurred in one patient (7.1%) whose BMI was considered as overweight. In patients with normal weight no early or late complications developed. Our findings suggest that high BMI in adolescents is a significant risk factor in the development of both symptoms and complications of PSD after surgical treatment.

Keywords

High Body Mass Index Pilonidal Sinus Normal Weight Patient Body Mass Index Percentile Pilonidal Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Yucesan, S, Dindar, H, Olcay, I,  et al. 1993Prevalence of congenital abnormalities in Turkish school childrenEur. J. Epidemiol.9373380CrossRefPubMedGoogle Scholar
  2. 2.
    Çubukçu, A, Gönüllü, NN, Paksoy, M,  et al. 2000The role of obesity on the recurrence of pilonidal sinus disease in patients, who were treated by excisionInt. J. Colorectal Dis.15173175CrossRefPubMedGoogle Scholar
  3. 3.
    Sakr, M, El-Hammadi, H, Moussa, M,  et al. 2003The effect of obesity on the results of Karydakis technique for the management of chronic pilonidal sinusInt. J. Colorectal Dis.183639CrossRefPubMedGoogle Scholar
  4. 4.
    Allen-Mersh, TG 1990Pilonidal sinus: finding the right track for treatmentBr. J. Surg.77123132PubMedGoogle Scholar
  5. 5.
    Hammer, LD, Kraemer, HC, Wilson, DM,  et al. 1991Standardized percentile curves of body-mass index for children and adolescentsAm. J. Dis. Child.145259263PubMedGoogle Scholar
  6. 6.
    Serour, F, Somekh, E, Krutman, B,  et al. 2002Excision with primary closure and suction drainage for pilonidal sinus in adolescent patientsPediatr. Surg. Int.18159161CrossRefPubMedGoogle Scholar
  7. 7.
    Golladay, ES, Wagner, CW 1990Pediatric pilonidal disease: a method of managementSouth Med, J.83922924Google Scholar
  8. 8.
    Brook, I, Anderson, KD, Controni, G,  et al. 1980Aerobic and anaerobic bacteriology of pilonidal cyst abscess in childrenAm. J. Dis. Child.134679680PubMedGoogle Scholar
  9. 9.
    Hodges, RM. 1880Pilonidal sinusBoston Med. Surg. J.103485586Google Scholar
  10. 10.
    Sondenaa, K, Andersen, E, Nesvik, I,  et al. 1995Patient characteristics and symptoms in chronic pilonidal sinus diseaseInt. J. Colorectal Dis.103942CrossRefPubMedGoogle Scholar
  11. 11.
    Price, ML, Griffiths, WAD 1985Normal body hair: a reviewClin. Exp. Dermatol108797PubMedGoogle Scholar
  12. 12.
    Baskom, JU 1983Pilonidal disease: long-term results of follicle removalDis, Colon Rectum26800807Google Scholar
  13. 13.
    Karydakis, GE 1992Easy and successful treatment of pilonidal sinus after explanation of its causative processAust. N. Z. J. Surg.62285289Google Scholar
  14. 14.
    Armstrong, JH, Barcia, PJ 1994Pilonidal sinus disease, conservative approachArch. Surg.129914917PubMedGoogle Scholar
  15. 15.
    Sakr, M, El-Hammadi, H, Moussa, M,  et al. 2003The effect of obesity on the results of Karydakis technique for the management of chronic pilonidal sinusInt. J. Colorectal Dis.183639CrossRefPubMedGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2005

Authors and Affiliations

  • İrfan Serdar Arda
    • 1
    Email author
  • L. Hakan Güney
    • 1
  • Şinasi Sevmiş
    • 2
  • Akgün Hiçsönmez
    • 1
  1. 1.Department of Pediatiric SurgeryBaskent University Faculty of MedicineBahçelievler AnkaraTurkey
  2. 2.Department of General SurgeryBaskent University Faculty of MedicineBahçelievler AnkaraTurkey

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