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Related Experiment Video

Updated: Dec 14, 2025

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Published on: October 25, 2024

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Endoscopic Approach to Recurrent Pilonidal Sinus: A Retrospective Analysis.

Michele Manigrasso1, Nunzio Velotti1, Loredana Maria Sosa Fernandez2

  • 1Department of Advanced Biomedical Sciences, "Federico II" University of Naples, Naples, Italy.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|July 18, 2020
PubMed
Summary

Video-assisted ablation for recurrent pilonidal sinus (PS) shows promising short- and long-term results. This endoscopic technique offers good patient satisfaction and quick recovery, making it a viable treatment option for challenging PS cases.

Keywords:
VAAPSendoscopic approachpilonidalrecurrent

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Area of Science:

  • Surgical Innovation
  • Minimally Invasive Procedures
  • Proctology

Background:

  • Recurrent pilonidal sinus (PS) presents a significant clinical challenge.
  • Traditional surgical methods for recurrent PS often involve high morbidity and prolonged recovery.
  • Endoscopic techniques offer a less invasive alternative for managing complex PS cases.

Purpose of the Study:

  • To evaluate the short- and long-term outcomes of video-assisted ablation for recurrent pilonidal sinus.
  • To assess recurrence rates, patient recovery times, and satisfaction following endoscopic treatment.
  • To identify factors influencing postoperative outcomes in patients with recurrent PS.

Main Methods:

  • A consecutive series of patients with recurrent PS treated with video-assisted ablation (endoscopic approach) between 2014 and 2018 were analyzed.
  • Key outcomes included recurrence rates at 1, 3, and 5 years, time to recovery (work, sitting, walking), wound healing parameters, postoperative pain, and patient satisfaction.
  • Multivariate analyses were performed to identify predictors of postoperative outcomes.

Main Results:

  • The study included 63 patients with recurrent PS.
  • Recurrence rates were 4.7% at 1 year, 11.7% at 3 years, and 23.07% at 5 years.
  • Mean recovery times were short (e.g., 3.5 days off work), with high patient satisfaction (98.5%) and low rates of complications (4.7% incomplete healing, 7.9% infection).

Conclusions:

  • Video-assisted ablation is an effective endoscopic technique for treating recurrent pilonidal sinus.
  • The procedure demonstrates favorable short- and long-term outcomes, including low recurrence rates and high patient satisfaction.
  • The study supports the adoption of endoscopic approaches for recurrent PS management.