Pilonidal sinus: are we missing something?

Zinicola, R.; Cracco, N.; Serventi, A.; Martina, Shaunta' D; Milone, Marco; Sallustio, Pierluca; Bondurri, A.; Giani, Iacopo; Figus, Andrea; Zorcolo, Luigi

doi:10.1111/codi.12777

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…Since its first description in 1883 by Mayo, the management of chronic pilonidal disease remains controversial [2] but recently, following the concept that “less is more”, the new minimal invasive approaches have been proposed: they include sinotomy, sinusectomy, and trephining. Finally, progression of technology and conservative techniques has led to the development of video-assisted and endoscopic pilonidal sinus treatment [3].…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive pilonidal sinus treatment: A narrative review

Velotti

Manigrasso²,

Lauro³

et al. 2019

Open Medicine

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AbstractThe management of chronic pilonidal disease remains controversial, but recently, new minimal invasive approaches have been proposed. 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 basis for our new treatment is to create a minimal elliptical wedge of the subcutaneous tissue, including all the inflamed tissue and debris while leaving the overlying skin intact.The mechanism of an endoscopic approach relies on use of the endoscope without cutaneous tissue damage. Advantages include shorter operative time and time to discharge, which impact resource management in both primary and secondary care: patients undergoing endoscopic technique have a high satisfaction rate, probably due to the low level of postoperative pain and early return to work and daily activities. However, it is mandatory that further studies would analyze surgical approaches to pilonidal sinus disease (PSD) with a consistent and adequate follow-up of at least 5 years. Both sinusectomy and endoscopic approach to PSD were found to be safe and effective compared with conventional techniques. Publishedresults of studies of newer approaches have demonstrated a low short-term complication rate, comparable to conventional surgery results.

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Section: Introductionmentioning

confidence: 99%

Minimally invasive pilonidal sinus treatment: A narrative review

Velotti

Manigrasso²,

Lauro³

et al. 2019

Open Medicine

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“…1) have been described in the past decades [2][3][4][5], providing the possibility to avoid wide en bloc excisions, which are associated with significant rates of recurrence and complications [6,7]. Nonetheless, conventional excision with or without primary midline closure is still the most performed procedure worldwide [6,8].…”

Section: Introductionmentioning

confidence: 99%

Cleft lift versus standard excision with primary midline closure for the treatment of pilonidal disease. A snapshot of worldwide current practice

et al. 2015

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Background Several surgeries are available to treat pilonidal disease. Methods We analysed the relative effects of conventional excision with primary midline closure compared with the cleft lift procedure on the clinical outcomes of recent published reports. Results A total of 14 studies containing 2089 patients were included in the analysis. At pooled analysis of available data, the cleft lift procedure showed significantly lower rate of recurrence, shorter time to complete wound healing and faster return to daily activities. Conclusions The quality of available inherent evidence is not sufficient to draw definitive conclusions. Although the clinical heterogeneity among studies represents a valid concern, the quantitative synthesis of the recent literature seems to support the use of the cleft lift over conventional excision with primary midline closure. Short Communicationmethodologically considerable papers. Further and well-designed studies are required to provide stronger evidence given that finding a standard procedure for the treatment of PD remains a research priority.

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Subcutaneous Destruction of Sinus Tract with Long-Term Vessel-Loop Drainage as Minimal Invasive Surgical Treatment for Primary Pilonidal Sinus

Korenkov¹

2017

Biofilm, Pilonidal Cysts and Sinuses

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Pilonidal sinus: are we missing something?

Cited by 6 publications

References 4 publications

Minimally invasive pilonidal sinus treatment: A narrative review

Minimally invasive pilonidal sinus treatment: A narrative review

Cleft lift versus standard excision with primary midline closure for the treatment of pilonidal disease. A snapshot of worldwide current practice

Subcutaneous Destruction of Sinus Tract with Long-Term Vessel-Loop Drainage as Minimal Invasive Surgical Treatment for Primary Pilonidal Sinus

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