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Techniques in Coloproctology

, Volume 22, Issue 1, pp 7–14 | Cite as

The effect of hair removal after surgery for sacrococcygeal pilonidal sinus disease: a systematic review of the literature

  • A. A. PronkEmail author
  • L. Eppink
  • N. Smakman
  • E. J. B. Furnee
Review

Abstract

Background

It has been suggested that removal of body hair in the sacrococcygeal area prevents recurrence after surgery for sacrococcygeal pilonidal sinus disease (SPSD). The aim of this study was to review the literature regarding the effect of hair depilation on the recurrence rate in patients surgically treated for SPSD.

Methods

A systematic search was performed in PubMed, EMBASE, and The Cochrane Library by using synonyms for SPSD. Title, abstract, and full text were screened by two independent reviewers. Data were systematically collected from all included studies by using a standardized data extraction form.

Results

The search and selection yielded 14 studies, involving 963 patients. The study design of the included studies was: retrospective cohort (n = 7), prospective cohort (n = 3), randomized controlled trial (n = 2), and case–control (n = 2).The mean length of follow-up was 37.0 (standard error of the mean: 35.0) months. The recurrence rate was 9.3% (34 out of 366 patients) in patients who had laser hair removal, 23.4% (36 out of 154 patients) in those who had razor shaving/cream depilation, and 19.7% (85 out of 431 patients) in those who had no hair removal after surgery for SPSD.

Conclusions

This systematic review showed a lower recurrence rate after laser hair removal compared to no hair removal and razor/cream depilation. Due to the small sample size and limited methodological quality of the included studies, a high-quality randomized controlled trial is required.

Keywords

Sacrococcygeal pilonidal sinus disease Hair removal Recurrence Laser treatment Razor shaving Cream depilation 

Notes

Acknowledgements

The authors would like to thank Aart Huisman Stichting E. Scarrot, MD, Department of Histopathology, Southmead Hospital, Bristol, UK.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was not obtained.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2017

Authors and Affiliations

  • A. A. Pronk
    • 1
    Email author
  • L. Eppink
    • 2
  • N. Smakman
    • 1
  • E. J. B. Furnee
    • 3
  1. 1.Department of SurgeryDiakonessenhuisUtrechtThe Netherlands
  2. 2.Department of Internal MedicineSint Antonius ZiekenhuisNieuwegeinThe Netherlands
  3. 3.Department of Abdominal SurgeryUniversity Medical Center GroningenGroningenThe Netherlands

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