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Muzi’s Tension Free Primary Closure of Pilonidal Sinus Disease: Updates on Long-Term Results on 514 Patients

  • 2017 SSAT Plenary Presentation
  • Published:
Journal of Gastrointestinal Surgery

Abstract

Background

The aim of this study is to evaluate the long-term results of Muzi’s tension free primary closure technique for pilonidal sinus disease (PSD), in terms of patients’ discomfort and recurrence rate.

Methods

This study is a retrospective analysis of prospectively collected data. Five hundred fourteen patients were treated. Postoperative pain (assessed by a visual analog scale, VAS), complications, time needed to return to full-day activities, and recurrence rate were recorded. At 12, 22, and 54 months postoperative, patients’ satisfaction was evaluated by a questionnaire scoring from 0 (not satisfied) to 12 (greatly satisfied).

Results

The median operative time was 30 min. The overall postoperative complication rate was 2.52%. Median VAS score was 1. The mean of resumption to normal activity was 8.1 days. At median follow-up of 49 months, recurrence rate was 0.4% (two patients). At 12 months’ follow-up, the mean satisfaction score was 10.3 ± 1.7. At 22 and 54 months’ follow-up, the score was confirmed.

Conclusions

Muzi’s tension free primary closure technique has proved to be an effective treatment, showing in the long-term follow-up low recurrence rate and high degree of patient satisfaction. Therefore, we strongly recommend this technique for the treatment of PSD.

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Acknowledgements

This paper was presented at the Digestive Disease Week (DDW) Congress, May 2017, Chicago, IL, USA.

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Authors and Affiliations

  1. Department of General Surgery, University of Rome “Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy

    Marco Gallinella Muzi, Pietro Mascagni, Oreste Buonomo, Agnese Cianfarani, Claudia Mosconi, Marco Colella, Giuseppe Petrella, Silvia Quaresima & Pierpaolo Sileri

  2. Department of General Surgery and Surgical Specialties “Paride Stefanini”, Sapienza, University of Rome, Viale del Policlinico 155, 00161, Rome, Italy

    Andrea Balla

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  1. Marco Gallinella Muzi
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  2. Pietro Mascagni
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Contributions

Analysis or interpretation of data: Pietro Mascagni, Agnese Cianfarani, Claudia Mosconi, Marco Colella, Andrea Balla, Silvia Quaresima, Pierpaolo Sileri, Marco Gallinella Muzi.

Drafting the work or revising it critically for important intellectual content: Marco Gallinella Muzi, Oreste Bonomo, Pierpaolo Sileri, Giuseppe Petrella.

Final approval of the version to be published: Marco Gallinella Muzi, Pietro Mascagni, Oreste Bonomo, Agnese Cianfarani, Claudia Mosconi, Marco Colella, Andrea Balla, Silvia Quaresima, Giuseppe Petrella, Pierpaolo Sileri.

Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: Marco Gallinella Muzi, Pietro Mascagni, Oreste Bonomo, Agnese Cianfarani, Claudia Mosconi, Marco Colella, Andrea Balla, Silvia Quaresima, Giuseppe Petrella, Pierpaolo Sileri.

Corresponding author

Correspondence to Marco Gallinella Muzi.

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Conflict of Interest

Marco Gallinella Muzi, Pietro Mascagni, Oreste Bonomo, Agnese Cianfarani, Claudia Mosconi, Marco Colella, Andrea Balla, Silvia Quaresima, Giuseppe Petrella, and Pierpaolo Sileri have no conflicts of interest or financial ties to disclose.

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Muzi, M.G., Mascagni, P., Buonomo, O. et al. Muzi’s Tension Free Primary Closure of Pilonidal Sinus Disease: Updates on Long-Term Results on 514 Patients. J Gastrointest Surg 22, 133–137 (2018). https://doi.org/10.1007/s11605-017-3502-2

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  • DOI: https://doi.org/10.1007/s11605-017-3502-2

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