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European Surgery
Published in: European Surgery 5/2016

01-10-2016 | Short Communication

Cleft lift versus standard excision with primary midline closure for the treatment of pilonidal disease. A snapshot of worldwide current practice

Surgical treatment of pilonidal disease

Authors: F. Guerra, G. Giuliani, S. Amore Bonapasta, D. Coletta, F. La Torre

Published in: European Surgery | Issue 5/2016

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Summary

Background

Several surgeries are available to treat pilonidal disease.

Methods

We analysed the relative effects of conventional excision with primary midline closure compared with the cleft lift procedure on the clinical outcomes of recent published reports.

Results

A total of 14 studies containing 2089 patients were included in the analysis. At pooled analysis of available data, the cleft lift procedure showed significantly lower rate of recurrence, shorter time to complete wound healing and faster return to daily activities.

Conclusions

The quality of available inherent evidence is not sufficient to draw definitive conclusions. Although the clinical heterogeneity among studies represents a valid concern, the quantitative synthesis of the recent literature seems to support the use of the cleft lift over conventional excision with primary midline closure.
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Metadata
Title
Cleft lift versus standard excision with primary midline closure for the treatment of pilonidal disease. A snapshot of worldwide current practice
Surgical treatment of pilonidal disease
Authors
F. Guerra
G. Giuliani
S. Amore Bonapasta
D. Coletta
F. La Torre
Publication date
01-10-2016
Publisher
Springer Vienna
Published in
European Surgery / Issue 5/2016
Print ISSN: 1682-8631
Electronic ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-015-0375-z

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