A study of the factors associated with recurrence of pilonidal sinus at tertiary health care centers
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 5
Abstract
Introduction: Pilonidal sinus disease (PSD), diagnosed by the penetration of hair follicles into one or more sinus walls, attacks younger subjects more frequently and chronically develops with acute and sub acute instances of infection Aims and Objectives: To Study the Factors associated with recurrence of pilonidal sinus at tertiary health care center. Methodology: This was a hospital based study cross-sectional study carried out at the General Surgery Department of Bidar Institute of Science during the one year period i.e. January 2014-January 2015. All the patients Diagnosed as Pilonidal sinus were studied in Detail clinical history regarding risk factors was asked and those persons who did not give consent and terminally ill were excluded from the study. The statistical analysis done by Z-test (Difference between two Proportions) Result: Majority of the Patients were in the Age group of >50 i.e. 40.00%, followed by 40-50- 30.00% 30-40- 20.00%, 20-30- 6.66%, 10-20- 3.33%. Majority of the patients were Male i.e. 70.00% and Females were 30.00%. The majority of the Patients associated significantly with Risk factors were; Old age i.e. 66.67 %( Z=5.85, p<0.05. HS) followed by Male sex 70.00% (Z=6.78, p<0.05. HS) H/o Smoking 60.00% (Z=5.28, p<0.05.HS), H/o Diabetes 56.66% (Z=6.1, p<0.05.HS), Obese (BMI>30) 80.00% (Z=5.5, p< 0.05. NS), Wound Infection 63.33% (Z=6.4, p<0.05.HS)Familial Tendencies 73.33% (Z=4.5,p<0.05.HS)Multiple sinus number 83.33% (Z=4.49,p<0.05.HS) Conclusion : Risk factors mostly associated with recurrence of pilonidal sinus in our study were Old age, Male sex, H/o Smoking, H/o Diabetes, Obese (BMI>30), Wound Infection Familial Tendencies, Multiple sinus number.
Authors and Affiliations
Sanjay Chanda
Keywords
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