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Endoscopic pilonidal sinus treatment: a systematic review and meta-analysis
Sameh Hany Emile1,2, Hossam Elfeki3,4, Mostafa Shalaby3,5
1Colorectal Surgery Unit, Department of General Surgery, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt. sameh200@hotmail.com.
Endoscopic treatment for sacrococcygeal pilonidal disease (SPD) shows promising safety and efficacy. This minimally invasive approach offers reduced pain, faster healing, and quicker return to work compared to traditional surgeries.
Area of Science:
- Surgical Innovation
- Minimally Invasive Procedures
- Gastroenterology & Surgery
Background:
- Sacrococcygeal pilonidal disease (SPD) is a prevalent surgical condition with numerous treatment options.
- Conventional surgical methods for SPD often involve significant recovery periods and potential complications.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel endoscopic procedure for treating sacrococcygeal pilonidal disease (SPD).
- To compare the outcomes of endoscopic treatment with conventional surgical approaches.
Main Methods:
- A systematic literature search was performed across major electronic databases (PubMed/Medline, Scopus, Embase, Cochrane Library).
- Studies assessing endoscopic treatment for SPD were included, focusing on failure rates (persistence, recurrence), complications, pain, healing time, and return to work.
Main Results:
- Nine studies involving 497 patients were analyzed.
- The endoscopic technique demonstrated a weighted mean failure rate of 6.3% and a low complication rate of 1.1%.
- Patients experienced significantly less postoperative pain (mean VAS 1.35), with a mean healing time of 32.9 days and return to work in 2.9 days.
Conclusions:
- Endoscopic treatment for pilonidal sinus is a safe and effective method for managing SPD.
- Key advantages include reduced postoperative pain, accelerated healing, and a shorter time to return to daily activities.
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