Publications by authors named "C A L de Raaff"
Aim: The aim of this study was to assess Dutch surgical practice and outcomes for acute pilonidal abscess.
Method: Patients with pilonidal sinus disease (PSD) who underwent surgical treatment between 1 March 2020 and 1 March 2021 at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with an acute abscess were included for analysis.
Aim: Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands.
Method: Patients with PSD who underwent surgical treatment between March 1, 2020, and March 1, 2021, at 36 participating hospitals were included in a prospective observational cohort study.
Background: Undetected obstructive sleep apnea (OSA) is highly prevalent in patients undergoing bariatric surgery and increases perioperative risks. Screening for OSA using preoperative polygraphy (PG) with subsequent continuous positive airway pressure (CPAP) is costly and time-consuming. Postoperative continuous pulse oximetry (CPOX) is less invasive, and is hypothesized to be a safe and cost-effective alternative.
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- Pilonidal sinus disease, commonly treated in the Netherlands with excision and secondary healing, has high recurrence rates and poor healing, leading to the exploration of the Bascom cleft lift as an alternative with better outcomes.
- A study compared healing success, time to heal, complications, and recurrence rates between the two techniques in 272 patients, revealing that Bascom cleft lift had significantly better healing rates (84.4% vs. 32.6%) and faster healing times (55 days vs. 101 days).
- Although Bascom cleft lift showed a higher rate of complications (28.9% vs. 13.2%), it resulted in lower recurrence rates (6