Surgical intervention of pilonidal sinus: impact on patients' postoperative satisfaction and return to work time

Eur J Dermatol. Jul-Aug 2013;23(4):487-90. doi: 10.1684/ejd.2013.2052.


Background: Pilonidal sinus (PS) is a chronic inflammatory process accompanied by psychological strain and a high rate of work incapacity.

Objectives: To analyze the impact of PS surgery on individual patients' satisfaction (SAT) and economic impacts on work capability.

Patients and methods: We retrospectively analyzed 40 PS patients regarding SAT and return to work time (RTW) in relation to various factors, using multivariate analysis and Pearson's correlation test.

Results: We found a significant negative correlation between SAT and RTW (p<0.01), both correlated equally strongly with duration between first diagnosis and surgery (p<0.01) and with loss of weight (p<0.05). RTW correlated with duration of painkiller intake (p<0.01). SAT correlated with gender (p<0.01), smoking cessation (p<0.05) and quantity of painkiller intake (p<0.01). Satisfaction correlated with gender (p<0.01), smoking cessation (p<0.05), and quantity of painkiller intake (p<0.05).

Conclusion: RTW after PS surgery is influenced by factors that can be influenced prior to surgery, leading to better economic results for patients and employers as well as society.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Analgesics / therapeutic use
  • Chronic Disease
  • Cost of Illness*
  • Female
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Pain Measurement
  • Pain, Postoperative / drug therapy
  • Patient Satisfaction*
  • Pilonidal Sinus / economics
  • Pilonidal Sinus / surgery*
  • Retrospective Studies
  • Return to Work* / economics
  • Sex Factors
  • Smoking Cessation
  • Time Factors
  • Wound Closure Techniques*
  • Wound Healing
  • Young Adult


  • Analgesics