Endoscopic pilonidal sinus treatment: A minimally invasive surgical technique

Area of Science:

• Surgical Innovation
• Minimally Invasive Procedures
• Pilonidal Sinus Disease Treatment

Background:

• Pilonidal sinus disease (PSD) is a prevalent condition affecting quality of life, particularly in men.
• Current surgical treatments aim for minimal invasiveness, reduced recovery time, and low recurrence rates.
• A novel technique, endoscopic pilonidal sinus treatment (EPSiT), is introduced.

Purpose of the Study:

• To present and evaluate the efficacy of the endoscopic pilonidal sinus treatment (EPSiT) technique.
• To assess the outcomes of EPSiT in patients with pilonidal sinus disease.
• To compare EPSiT with traditional surgical methods regarding recurrence and recovery.

Main Methods:

• A prospective study involving 100 patients diagnosed with PSD treated with EPSiT.
• Utilized an endoscopic approach with an electrode for ablation and a brush/spoon for tissue removal.
• Data collected prospectively from February 2017 to April 2019.

Main Results:

• No postoperative complications (hematoma, seroma, infection) were observed.
• A low recurrence rate of 4% was reported.
• High patient satisfaction with 85% reporting maximal cosmetic satisfaction and favorable pain scores.

Conclusions:

• Endoscopic pilonidal sinus treatment (EPSiT) is an effective minimally invasive option for PSD.
• EPSiT demonstrates a significantly low recurrence rate and short hospital stay compared to traditional techniques.
• The procedure offers excellent cosmetic outcomes and patient satisfaction.