Minimally invasive surgery for the treatment of pilonidal disease. The Gips procedure on 2347 patients

Castro, Angelo Di; Guerra, Francesco; Sandri, Giovanni Battista Levi; Ettorre, Giuseppe Maria

doi:10.1016/j.ijsu.2016.10.040

Cited by 54 publications

(45 citation statements)

References 22 publications

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“…Following the excision towards the sacral fascia, open healing (OH) and primary closure (PC) are still the most commonly used surgical techniques. PC can be done in the form of asymmetric (OMPCT) or midline closure (4,20). In their meta-analysis, McCallum et al reported that the PC provided rapid recovery despite the high risk of recurrence compared to OH, and emphasized the importance of using OMPCT as a standard treatment if PC is preferred in the same study.…”

Section: Discussionmentioning

confidence: 99%

Could Early Postoperative Complications be Considered as Risk Factor for Recurrence after Pilonidal Sinus Surgery?

Demiryas¹,

Dönmez²

2019

chr

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Introducere: Nu s-a ajuns la nici un consens în ceea ce priveşte tehnicile de tratament ale bolii pilonidale sacrococcigiene (PD). Tehnicile chirurgicale preferate sunt procedurile Karydakis (KP) şi clapa Limberg modificată (MLF). Din cauza perioadei lungi de urmărire a pacienţilor şi a timpului îndelungat până la reluarea activităţilor zilnice, complicaţiile postoperatorii crează un disconfort puternic. Prin prezentul studiu ne-am propus să determinăm factorii de risc pentru posibile complicaţii şi mai ales recurenţa la pacienţii care sunt supuşi tratamentului chirurgical pentru PD. Metode: Acesta este un studiu retrospectiv de şapte ani, care a fost realizat în perioda ianuarie 2011-ianuarie 2018, în cadrul căruia au fost evaluaţi opt sute patruzeci şi unu de pacienţi. Aceeaşi tehnică-aceeaşi abordare chirurgicală a fost folosită pentru toţi pacienţii implicaţi. Toate cazurile au fost împărţite în două grupuri: KP (n = 417) şi MLF (n = 424). Rezultate: Nu s-a găsit nicio diferenţă semnificativă între grupurile KP şi MLF în ceea ce priveşte vârsta, sexul, IMC, fumatul, istoricul drenării acute de abces (HAAD), momentul eliminării suturii, perioada de urmărire, seromul, hematomul, dehiscenţa, infecţia rănilor (WI), durere şi recurenţă. În acest studiu, perioada de urmărire a pacienţilor a fost de 48,6 ± 21,4 luni în grupul KP şi 48,2 ± 21,7 luni în grupul MLF (medie ± SD). S-a constatat că scorul American Society of Anesthesiologists (ASA) a fost mai mare în grupul KP. În timp ce durata medie a operaţiei (DO) a fost mai scurtă în grupul KP, perioada de îndepărtare a scurgerii, perioada de

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Section: Discussionmentioning

confidence: 99%

Could Early Postoperative Complications be Considered as Risk Factor for Recurrence after Pilonidal Sinus Surgery?

Demiryas¹,

Dönmez²

2019

chr

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“…Gips popularized this method by using trephines instead of a scalpel for the excision. Results of the Lord and Millar/ Gips technique in over 7000 patients have been described in 9 reports [4,7,11,18,19,22,28,30]. The reported recurrence rates vary from 3 to 28%, with around 25% in the larger studies with longer follow-up.…”

Section: Excision Of Sinuses Through Minimal Separate Excisionsmentioning

confidence: 99%

“…The median time to wound healing is about 25 days in most studies. However, delayed healing may occur in about 10 to 16% [4,6,11]. Khodakaram [17] described a modification of the Lord-Millar method where the wounds from the small midline excisions were closed primarily (.…”

Section: Schlüsselwörtermentioning

confidence: 99%

Less invasive pilonidal sinus surgical procedures

Andersson

2019

coloproctology

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Less invasive pilonidal sinus surgical proceduresMinimally invasive surgery for pilonidal disease is simple, safe, and cost-efficient, with low morbidity, rapid healing, and a rapid return to normal activity. Although recurrence rates seem high at first glance, the procedures can be successfully repeated for recurrences, achieving healing rates of over 90% for 1-2 interventions. Future welldesigned trials are necessary to aid patient selection.

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“…Minimally invasive surgical procedures usually performed through a limited incision or excision of the sinuses and orifices. The resulting wound can be left open, curetted or partially treated (9)(10)(11)(12)(13) . Similar to these procedures, we performed a minimal incision in the sinuses and orifices and included only the diseased tissue in the excision.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery

Karaalı¹,

Sayan²,

Sert³

et al. 2020

BUCH

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Objective: Recently, minimally invasive methods have been used in surgical treatment of adult sacrococcygeal pilonidal sinus (SPS) instead of classical wide excisions. However, there are fewer data about minimally invasive methods in the adolescent age group. Therefore, we aimed to compare our adolescent patients undergoing minimal excision and primary closure (MEPC) with those undergoing Limberg flap (LF) method. Method: In this study, the data of 80 patients who were operated for sacrococcygeal pilonidal sinus between July 2014 and December 2017 were retrospectively reviewed. Patients who underwent minimal excision with primary closure (MEPC) or Limberg flap (LF) were included in the study. Patients were evaluated in terms of age, sex, body mass index (BMI), length of hospital stay, time to return to work/school, time to complete healing, complication, recurrence and patient satisfaction levels. Results: No significant difference was found between patient characteristics, complication, recurrence and patient satisfaction rates of these two groups. However, in terms of hospitalization and return to work/ school, MEPC group was found to be statistically advantageous compared with LF group. Conclusion: MEPC procedure has similar success rates in terms of recurrence, complications and patient satisfaction compared with LF. However, the MEPC procedure has advantages such as allowing faster return to work/school and not requiring hospitalization. Therefore, in adolescents with non-complex and uncommon SPS disease, MEPC procedure may be offered as an alternative treatment option to LF.

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Minimally invasive surgery for the treatment of pilonidal disease. The Gips procedure on 2347 patients

Abstract: the Gips procedure for the treatment of pilonidal disease is safe and feasible. It has a low complication and recurrence rate, early return to daily activities and offers a good cosmetic result.

Cited by 54 publications

References 22 publications

Could Early Postoperative Complications be Considered as Risk Factor for Recurrence after Pilonidal Sinus Surgery?

Could Early Postoperative Complications be Considered as Risk Factor for Recurrence after Pilonidal Sinus Surgery?

Less invasive pilonidal sinus surgical procedures

Comparison of Minimal Excision and Primary Wound Closure with Limberg Flap Procedure in Adolescent Sacrococcygeal Pilonidal Sinus Surgery

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