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dc.contributor.authorHardy, EJO
dc.contributor.authorHerrod, Philip
dc.contributor.authorLund, Jonathan
dc.date.accessioned2020-02-18T13:20:46Z
dc.date.available2020-02-18T13:20:46Z
dc.date.issued2019-11
dc.identifier.citationJ Pediatr Surg. 2019 Nov;54(11):2222-2233. doi: 10.1016/j.jpedsurg.2019.02.058. Epub 2019 Mar 16.en
dc.identifier.urihttps://orda.derbyhospitals.nhs.uk/handle/123456789/2202
dc.description.abstractBACKGROUND: Pilonidal sinus disease (PNS) is not uncommon in children. Controversy remains over the best treatment and there is limited evidence. This systematic review and meta-analysis aims to establish which techniques have the best outcomes in children. METHODS: MEDLINE, EMBASE and CENTRAL databases were searched. Studies reporting treatment outcomes for PNS in children were included. RESULTS: Open healing has pooled risk of recurrence of 26% (95%CI 15-38%), risk of wound complication of 21% (9-36%) and wound healing ranged from 38-92 days. Midline primary closure has pooled risk of recurrence of 12% (8-18%), risk of wound complication of 30% (19-46%) and wound healing ranged from 8 to 32 days. Off-midline primary closure has pooled risk of recurrence of 6% (1-15%), risk of wound complication of 14% (6-25%) and wound healing was 27 days. VAC therapy has pooled risk of recurrence of 20% (0-65%) and wound healing ranged from 38 to 92 days. Minimally invasive techniques has pooled risk of recurrence of 7% (1-16%) and wound healing ranged from 21-30 days. Marsupialisation has pooled risk of recurrence of 6% (0-22%), and wound healing ranged from 6 to 41 days. CONCLUSION: Evidence for management of PNS in children is poor. Off-midline primary closure, minimally invasive techniques, and marsupialisation have the best outcomes.en
dc.language.isoenen
dc.subjectAdolescenten
dc.subjectChilden
dc.subjectPilonidal Sinusen
dc.subjectSurgeryen
dc.subjectSystematic Reviewen
dc.titleSurgical interventions for the treatment of sacrococcygeal pilonidal sinus disease in children: A systematic review and meta-analysisen
dc.typeArticleen


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