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Negative pressure-assisted endoscopic pilonidal sinus treatment.

P Giordano1, E Schembari2, K Keshishian2

  • 1Department of Colorectal Surgery, The Royal London Hospital, Whitechapel Road, London, E1 1RR, UK. p.giordano@londoncolorectal.org.

Techniques in Coloproctology
|March 23, 2021
PubMed
Summary
This summary is machine-generated.

Negative pressure-assisted endoscopic pilonidal sinus treatment (EPSiT) offers improved wound healing and patient satisfaction. This minimally invasive approach facilitates a quicker recovery for pilonidal sinus disease (PSD) patients.

Keywords:
EPSiTMinimally invasive treatmentNPWTPilonidal diseasePilonidal sinus

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Area of Science:

  • Surgical Innovation
  • Wound Management
  • Minimally Invasive Procedures

Background:

  • Pilonidal sinus disease (PSD) presents a challenge for effective treatment.
  • Endoscopic pilonidal sinus treatment (EPSiT) is a novel minimally invasive option.
  • Optimizing postoperative wound management after EPSiT is crucial for patient outcomes.

Purpose of the Study:

  • To assess the clinical outcomes of negative pressure-assisted (NPA) EPSiT.
  • To evaluate the efficacy of ultraportable negative pressure wound therapy (NPWT) in conjunction with EPSiT.
  • To determine the impact of NPA EPSiT on healing rates, recovery time, and patient satisfaction.

Main Methods:

  • A prospective study of 13 male patients with PSD treated by NPA EPSiT.
  • Postoperative wound management utilized a commercially available negative pressure wound therapy (NPWT) dressing.
  • Primary outcomes included healing rate and return to normal activities; secondary outcomes were complications and patient satisfaction.

Main Results:

  • The mean follow-up was 14 months.
  • A high overall patient satisfaction rate was reported (13/13 patients satisfied).
  • Two patients experienced partial healing, with one requiring a repeat NPA EPSiT successfully.

Conclusions:

  • Negative pressure-assisted EPSiT is a simple and effective method for managing PSD.
  • This technique potentially improves postoperative wound healing and accelerates patient recovery.
  • NPA EPSiT may lead to enhanced overall patient satisfaction.