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Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series

Alessio Pini Prato1, Cinzia Mazzola2, Girolamo Mattioli2

  • 1Pediatric Surgery, The Children Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Spalto Marengo, 46, 15121, Alessandria, Italy. a.piniprato@gmail.com.

Pediatric Surgery International
|April 21, 2018
PubMed

Insights

Endoscopic Pilonidal Sinus Treatment (EPSiT) is a safe and effective option for pediatric pilonidal disease. This multicenter study shows promising results with a high resolution rate and minimal complications in children.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Procedures
  • Pilonidal Disease Management

Background:

  • Pilonidal disease presents challenges with high recurrence and complication rates for existing surgical treatments.
  • The Endoscopic Pilonidal Sinus Treatment (EPSiT) technique has emerged as a viable alternative in adult practice since 2013.
  • This study evaluates the outcomes of EPSiT in a pediatric patient cohort.

Purpose of the Study:

  • To assess the feasibility and safety of the EPSiT procedure in pediatric patients.
  • To report the outcomes and complication rates of EPSiT in children with pilonidal disease.
  • To determine if EPSiT is a suitable alternative treatment for pediatric pilonidal disease.

Main Methods:

  • A multicenter study involving four pediatric surgical units.
  • Consecutive pediatric patients undergoing EPSiT between July 2015 and March 2017 were enrolled.
  • Data collected included demographics, surgical details, outcomes, and complications.

Main Results:

  • A total of 43 pediatric patients underwent the EPSiT procedure, with a mean age of 15 years.
  • The mean procedure length was 34 minutes, with a median hospital stay of 24 hours.
  • An 88% overall resolution rate was achieved, with complications requiring reoperation in 9% of cases.

Conclusions:

  • EPSiT demonstrates feasibility and safety in the pediatric population.
  • The technique offers a valid alternative for treating pilonidal disease in children.
  • High resolution rates suggest the efficacy of EPSiT for pediatric pilonidal disease.
Abstract

Keywords:
AbscessChildrenEPSiTPilonidal diseaseVAAFT

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