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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Published on: June 20, 2018

Sinusectomy for primary pilonidal sinus: less is more.

Christopher Soll¹, Daniel Dindo, Daniel Steinemann

¹Department of Visceral and Transplantation Surgery, University Hospital Zurich, Zurich, Switzerland.

|September 14, 2011

Summary

This summary is machine-generated.

Sinusectomy offers a low recurrence rate for pilonidal sinus treatment. This minimally invasive procedure allows patients a rapid return to work, often within days.

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Area of Science:

Surgical Oncology
Minimally Invasive Surgery

Background:

Pilonidal sinus is commonly treated with wide excision and secondary healing, requiring general anesthesia and prolonged recovery.
This traditional method leads to extended wound healing times (months) and significant time off work.

Purpose of the Study:

To evaluate the long-term outcomes of sinusectomy for pilonidal sinus.
To compare sinusectomy with traditional wide excision regarding recurrence and return to work.

Main Methods:

A retrospective study of 257 patients undergoing sinusectomy between 2001 and 2010.
Sinusectomy involved minimal invasive excision of the sinus track after methylene blue marking.
Data collected via questionnaires and telephone surveys, focusing on recurrence and time off work.

Main Results:

Median follow-up was 3.6 years with an overall recurrence rate of 7%.
Median time to return to work was only 7 days.
Proportion of procedures under local anesthesia increased from 59% to 93%, and 1-day surgery increased from 53% to 93%.

Conclusions:

Sinusectomy demonstrates a low recurrence rate for pilonidal sinus.
Outpatient sinusectomy, especially under local anesthesia, facilitates a quick return to normal activities.
Sinusectomy is recommended as a primary treatment for non-infected symptomatic pilonidal sinus.