Another Pilonidal classification - PLLATIN

PLLATIN

  • Dietrich Doll Department of General and Visceral, Vascular and Paediatric Surgery, Saarland University, Homburg / Saar, Germany.
  • Pantelis Vassiliu
Keywords: pilonidal sinus classification

Abstract

Introduction: Pilonidal disease is a troublesome disease of young adults, and associated with real discomfort for the patient. More than 40,000 operations are performed every year in Germany alone.

Methods: Two classification systems are reviewed and novel approach presented.

Results: PLLATIN classification is described: Proximity to anus; Length from distal to proximal sinus; LATeral openings distance from midline; Infection; Number of previous definitive surgery attempts.

Conclusion: Classification systems require validation.

References

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4. Doll D, Bosche FD, Stauffer VK, et al. Strength of occipital hair as an explanation for pilonidal sinus disease caused by intruding hair. Dis Colon Rectum 2017; 60(9): 979-86.
5. Stauffer VK, Luedi MM, Kauf P, et al. Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence. Nature 2018; 8: 3058.
6. Doll D, Novotny A, Rothe R, et al. Methylene Blue halves the long-term recurrence rate in acute pilonidal sinus disease. Int J Colorectal Dis 2008; 23(2): 181-7.
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15. Doll D, Novotny A, Wietelmann K, et al. Factors influencing surgical decisions in chronic pilonidal sinus disease. European Surgery 2009; 41(2): 60-5.
16. Doll D, Evers T, Krapohl B, Matevossian E. Is there a difference in outcome (long-term recurrence rate) between emergency and elective pilonidal sinus surgery? Minerva Chir 2013; 68(2): 199-205.
17. Doll D, Matevossian E, Hoenemann C, Hoffmann S. Incision and drainage preceding definite surgery achieves lower 20-year long-term recurrence rate in 583 primary pilonidal sinus surgery patients. J Dtsch Dermatol Ges 2013; 11(1): 60-4.
Published
2018-04-24