Endoscopic Pilonidal Sinus Treatment in the Asian Population

Chia, C. K.; Tay, Vivyan W. Y.; Mantoo, Surendra Kumar

doi:10.1097/sle.0000000000000131

Cited by 40 publications

(23 citation statements)

References 12 publications

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“…Of interest, Meinero et al 7 designed a similar minimally invasive treatment to treat pilonidal sinus and obtained good results in 11 consecutive patients. These findings were later confirmed by the experience of Chia et al 31 with 9 consecutive patients.…”

Section: Discussionsupporting

confidence: 52%

“…A new endoscopic treatment for pilonidal sinus has been proposed. 6,7,31 We designed VAAPS, which is based on the concept of complete removal by ablation of the sinus with a minimal surgical wound. Whereas in the conventional surgical treatment an elliptical wedge of skin and subcutaneous tissue is created to remove the sinus and its lateral tracks, the theory of our new treatment is to create a minimal elliptical wedge of the subcutaneous tissue, including all the inflamed tissue and debris, leaving the overlying skin intact.…”

Section: Discussionmentioning

confidence: 99%

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Safety and Efficacy of Minimally Invasive Video-Assisted Ablation of Pilonidal Sinus

et al. 2016

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of Minimally Invasive Video-Assisted Ablation of Pilonidal Sinus

et al. 2016

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“…Minimally invasive treatment has many advantages. Several studies have shown that the period off work after EPSiT is shorter than after more extensive operations . Such patients also tend to experience less pain and better quality of life after endoscopic operation for pilonidal sinus than after classic flap surgery .…”

Section: Discussionmentioning

confidence: 99%

“…EPSiT is shorter than after more extensive operations [13][14][15][16][17][18]. Such patients also tend to experience less pain and better quality of life after endoscopic operation for pilonidal sinus [11] than after classic flap surgery [19].…”

Section: Discussionmentioning

confidence: 99%

Long‐term results of endoscopic pilonidal sinus treatment vs Limberg flap for treatment of difficult cases of complicated pilonidal disease: a prospective, nonrandomized study

2019

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Aim To present the results of a prospective, nonrandomized comparative study on the treatment of complicated pilonidal sinus by endoscopic pilonidal sinus treatment (EPSiT) compared with Limberg flap surgery, based on experience of a single surgical centre. Method A prospective, nonrandomized comparative study. Long‐term follow‐up of 62 patients with complicated pilonidal disease was analysed (36 operated on using the Limberg flap technique and 26 using the EPSiT method). The median follow‐up was 27 months (12–44). Results The median operating time in the EPSiT group was 60 min (25–80 min) and in the Limberg group 67 min (35–95 min). In the EPSiT group, primary healing was achieved in 22 out of 26 patients (84.6%) in a median of 42 days with a total complication rate of 11.5%. There were seven recurrences after initial healing. The total success rate of the EPSiT procedure with long‐term follow‐up was 57.7%. In the Limberg flap group, all patients healed (100%) in a median of 21 days. The complication rate in this group was 26.5%, and there were two recurrences in this group. The total success rate of the Limberg flap procedure was 94.1%. Conclusion For patients with complicated pilonidal sinus, the endoscopic procedure has a significantly lower success rate than the Limberg flap procedure, but a lower risk of complications. Such patients should be offered a choice between a safer, minimally invasive procedure with a higher risk of recurrence or flap surgery, which is more effective, but with a higher risk of complications.

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“…No sig nif i cant com pli cations have been re ported with the ad van tage of less pain and no re cur rence in the first six months of ther apy 15 . The aes thetic re sults too were better than con ven tional pro cedures 16 .…”

Section: En Do Scopic Pilonidal Si Nus Treat Mentmentioning

confidence: 89%

Non surgical management of pilonidal sinus disease

Pravin¹

2016

ACTA CHIR IUG

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When cosiidering how to treat pilonidal si nus, phy si cians should keep in mind that this con dition is more than merely a par tic u lar form of foreign body granuloma. The ideal method of treatment for pilonidal si nus should be the one hav ing min i mal post op er a tive mor bid ity, ex cel lent cosmetic re sults, min i mal tis sue loss, rapid re sumption of daily ac tiv i ties, low cost, and a low re currence rate. How ever, al though nu mer ous op er a tive and non-op er a tive treat ment meth ods have been described, no ap proach com prises all of these fea tures. Nu mer ous treat ment op tions have been pro posed for the pilonidal dis ease, in clud ing shav ing, re moval with open pack ing, in ci sion and drain age, ex ci sion with pri mary clo sure,phe nol ap pli ca tion, cryosurgery,ex cision with marsupialization, and re cently, flaps surgery. The man age ment of pilonidal si nus dis ease will depend on pa tient as sess ment, ex am i na tion and his tory of the con di tion. A dis ease-spe cific his tory and phys ical ex am i na tion should be per formed, em pha siz ing symp toms, risk fac tors, and the pres ence of sec ond ary in fec tion. Con ser va tive ther apy can fairly con trol pilonidal sinus dis ease in the of fice out pa tient set ting while as suring a near-nor mal work sta tus and should be preferred over excisional op er a tions at the out set.

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Endoscopic Pilonidal Sinus Treatment in the Asian Population

Abstract: EPSiT is a minimally invasive and cosmetically favorable procedure. A larger sample size and a longer follow-up is required to determine if it improves healing time and long-term recurrence rate.

Cited by 40 publications

References 12 publications

Safety and Efficacy of Minimally Invasive Video-Assisted Ablation of Pilonidal Sinus

Safety and Efficacy of Minimally Invasive Video-Assisted Ablation of Pilonidal Sinus

Long‐term results of endoscopic pilonidal sinus treatment vs Limberg flap for treatment of difficult cases of complicated pilonidal disease: a prospective, nonrandomized study

Non surgical management of pilonidal sinus disease

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