Related Experiment Video

Updated: Oct 18, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
07:43

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

Published on: January 17, 2018

19.1K

Advantages of endoscopic pilonidal sinus treatment

S Pérez-Bertólez1, O Martín-Solé1, I Moraleda1

  • 1Pediatric Surgery Department. Sant Joan de Déu Hospital. University of Barcelona (Spain).

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|October 4, 2021
PubMed

Insights

Pediatric endoscopic pilonidal sinus treatment (PEPSiT) offers faster healing and fewer complications than traditional methods. This minimally invasive approach significantly improves patient recovery and quality of life.

Area of Science:

  • Pediatric surgery
  • Minimally invasive techniques
  • Pilonidal sinus disease management

Background:

  • Traditional pilonidal sinus surgery often leads to high complication rates and prolonged, painful recovery.
  • Current treatments negatively impact patients' quality of life due to extended wound care and discomfort.

Purpose of the Study:

  • To compare the effectiveness and benefits of endoscopic pilonidal sinus treatment against conventional surgical methods in pediatric patients.
  • To evaluate recovery times, pain levels, and complication rates associated with different surgical approaches.

Main Methods:

  • A quasi-experimental study involving 49 pediatric patients who underwent pilonidal sinus surgery.
  • Comparison of three techniques: Pediatric Endoscopic Pilonidal Sinus Treatment (PEPSiT), Excision and Healing by Secondary Intention (EHSI), and Excision and Primary Closure (EPC).

Main Results:

  • PEPSiT demonstrated significantly faster healing (11 weeks sooner than EHSI) and reduced pain (VAS score, analgesic use).
  • Patients treated with PEPSiT returned to normal activities considerably faster than those undergoing EHSI or EPC.
  • PEPSiT showed a 0% complication rate, contrasting sharply with EHSI (69.6%) and EPC (58.3%).

Conclusions:

  • Endoscopic pilonidal sinus treatment is a highly effective minimally invasive option for pediatric patients.
  • PEPSiT facilitates a shorter, less painful recovery with simpler wound management.
  • This technique enables an early, unrestricted return to normal daily life.
Abstract

Keywords:
ChildrenPEPSiTPilonidal sinusPilonidal sinus diseasePrimary closureWound healing

More Related Videos

Endoscopic Cholesteatoma Surgery08:47

Endoscopic Cholesteatoma Surgery

Published on: January 19, 2022

11.1K
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation06:13

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

17.1K

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
222
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
255
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
1.2K