Endoscopic pilonidal sinus treatment (E.P.Si.T.) - first experiences and results

Area of Science:

• Minimally Invasive Surgery
• Coloproctology
• Surgical Innovation

Background:

• Pilonidal sinus disease is a common condition requiring effective treatment.
• Traditional open surgeries often involve prolonged recovery and complications.

Purpose of the Study:

• To present the initial results and experience with Endoscopic Pilonidal Sinus Treatment (E.P.Si.T.).
• To evaluate the feasibility and outcomes of this minimally invasive approach.

Main Methods:

• The E.P.Si.T. procedure utilizes a specialized endoscope (fistuloscope).
• It involves internal assessment of sinus tracts followed by endoscopic grasping, brushing, and electrodessication.

Main Results:

• Twenty-one E.P.Si.T. operations were performed between December 2018 and September 2019.
• Complete healing was achieved in 18 out of 21 patients (85.7%).
• The patient cohort predominantly consisted of males (6:1 ratio) with a mean age of 27.

Conclusions:

• E.P.Si.T. appears to be a highly effective method for treating pilonidal sinus.
• Compared to open procedures, E.P.Si.T. significantly reduces hospitalization, analgesic use, and antibiotic requirements.
• The method facilitates a shorter convalescence period and faster return to normal activities.