Another Pilonidal classification - PLLATIN
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.
2. Bosche F, Luedi MM, van der Zypen D, Moersdorf P, Krapohl B, Doll D. The Hair in the Sinus: Sharp-Ended Rootless Head Hair Fragments can be Found in Large Amounts in Pilonidal Sinus Nests. World J Surg [epub ahead of print] 2017.
3. Doll D, Matevossian E, Wietelmann K, Evers T, Kriner M, Petersen S. Family history of pilonidal sinus predisposes to earlier onset of disease and a 50% long-term recurrence rate. Dis Colon Rectum 2009; 52(9): 1610-5.
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.
7. Sahin A, Olcucuoglu E, Seker D, Kulacoglu H. The effect of using methylene blue in surgical treatments of pilonidal disease: a prospective randomized study. European Surgery 2014; 46(4): 148-54.
8. Doll D, Friederichs J, Dettmann H, Boulesteix AL, Duesel W, Petersen S. Time and rate of sinus formation in pilonidal sinus disease. Int J Colorectal Dis 2008; 23(4): 359-64.
9. Evers T, Doll D. Pilonidalsinus: Hohe chirurgische Rezidivrate. AmbChir 2009; 6: 25-8.
10. Tezel E. A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Dis 2007; 9(6): 575-6.
11. Irkorucu O. Management for pilonidal disease: Before you compare, use a classification system. Asian J Surg 2016; 39(4): 260-1.
12. Irkörücü OE, H.; Reyhan, E. The best Therapy for Pilonidal Disease: Which Management for Which Type? World J Surg 2012; 36: 691-2.
13. Kaplan M, Ozcan O, Bilgic E, Kaplan ET, Kaplan T, Kaplan FC. Distal scar-to-midline distance in pilonidal Limberg flap surgery is a recurrence promoting factor: A multicenter, case-control study. Am J Surg 2017.
14. Karakas BR, Aslaner A, Gunduz UR, et al. Is the lateralization distance important in terms in patients undergoing the modified Limberg flap procedure for treatment of pilonidal sinus? Tech Coloproctol 2015; 19(5): 309-16.
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.