Document Type : Original Article

Authors

1 General Surgeon residence, Department of General Surgery, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

2 Assistant Professor of Anesthesiology, Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

3 Associated Professor of Surgery, Department of General Surgery, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Introduction: pilonidal sinus disease can have a substantial impact on patients' quality of life, necessitating effective surgical management. Pilonidal sinus surgery using hook circulators represents a minimally invasive technique that has gained popularity in recent years. However, the effect of this surgical approach on patients' quality of life remains relatively unexplored. This article aims to bridge this gap by investigating the quality of life outcomes following pilonidal sinus surgery using hook circulators.

Material and Methods: Following surgery, patients were followed up at regular intervals to assess their postoperative recovery and quality of life outcomes. Postoperative assessments were conducted at 1 month, 3 months, and 6 months after surgery. The same standardized instruments (PSSS, DLQI, and SF-36) used in the preoperative assessment were administered to evaluate changes in quality of life over time.

Results: The SF-36 assesses multiple domains of quality of life, including physical functioning, role limitations, pain, general health, vitality, social functioning, emotional well-being, and mental health. The mean preoperative SF-36 score was 58.7 (range: 40-75). At the 1-month follow-up, there were significant improvements in all domains of the SF-36 (p<0.001). The improvements were sustained at the 3-month and 6-month follow-ups, with mean scores ranging from 60.2 to 66.8.

Conclusion: pilonidal sinus surgery with hook circulators demonstrates significant improvements in quality of life outcomes, including symptom relief and enhanced overall well-being. The surgical technique is associated with successful outcomes and a low rate of complications.

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