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En bloc resection vs. Gips procedure in pilonidal sinus surgery.

I Diéguez1, A Costa1, I Miró1

  • 1La Fe University and Polytechnic Hospital. Valencia (Spain).

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|April 29, 2022
PubMed
Summary
This summary is machine-generated.

The Gips procedure for pilonidal sinus (PS) offers faster healing and fewer complications like wound dehiscence compared to en bloc resection (EBR). This minimally invasive technique is recommended as a first-line treatment for pediatric PS patients.

Keywords:
Gips procedurePilonidal sinus

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Area of Science:

  • Pediatric Surgery
  • Surgical Innovation
  • Wound Healing Research

Background:

  • Pilonidal sinus (PS) is a common sacrococcygeal inflammatory condition with high recurrence rates.
  • Current management lacks consensus, with en bloc resection (EBR) being standard but associated with complications.
  • Minimally invasive techniques, such as the Gips procedure, are emerging as alternatives.

Purpose of the Study:

  • To compare surgical complications and patient outcomes.
  • To evaluate the efficacy of the Gips procedure versus en bloc resection (EBR) in pediatric PS.
  • To identify optimal surgical strategies for pediatric pilonidal sinus treatment.

Main Methods:

  • Retrospective analysis of pediatric patients (<16 years) undergoing first-time PS surgery (2014-2020).
  • Comparison of en bloc resection (EBR) versus Gips procedure groups.
  • Data collected included demographics, early complications (exudate, infection, dehiscence, bleeding), and follow-up healing times.

Main Results:

  • The Gips procedure group (n=14) showed significantly shorter median healing times (3.31 months) compared to EBR (n=46, 6.13 months; p<0.024).
  • No wound dehiscence occurred with the Gips procedure, contrasting with a 65.22% rate in the EBR group.
  • Re-intervention rates were comparable (7.14% vs. 10.87%; p=0.684), with no significant differences in sex, age, or BMI.

Conclusions:

  • The Gips procedure is a less invasive and effective alternative to EBR for pediatric pilonidal sinus.
  • This technique significantly reduces wound dehiscence and accelerates healing time.
  • The Gips procedure should be considered a primary treatment option for pediatric pilonidal sinus management.