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Minimally Invasive Pilonidal Sinus Treatment: EPSIT Versus PEBAI Method.

Baris Gulcu1, Ersin Ozturk

  • 1Department of Surgery, Bursa Medicana Hospital, Bursa, Turkey.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|November 16, 2023
PubMed
Summary
This summary is machine-generated.

The pit/sinus punch needle excision, brushing, ablation and irrigation (PEBAI) method offers a cost-effective alternative to endoscopic pilonidal sinus treatment (EPSIT) for pilonidal sinus disease, demonstrating similar clinical outcomes and healing rates.

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Area of Science:

  • Surgical Innovation
  • Minimally Invasive Procedures
  • Proctology

Background:

  • Pilonidal sinus disease (PSD) is a chronic condition requiring effective treatment.
  • Existing treatments like endoscopic pilonidal sinus treatment (EPSIT) have varying outcomes and costs.
  • A novel technique, PEBAI, was developed with similar principles to EPSIT but without endoscopic visualization.

Purpose of the Study:

  • To compare the efficacy and outcomes of EPSIT versus the PEBAI method for treating PSD.
  • To evaluate secondary endpoints including operative time, pain, wound healing, quality of life, and cost.

Main Methods:

  • Retrospective analysis of 104 patients treated with EPSIT and 184 with PEBAI between January 2020 and October 2021.
  • Primary endpoint: wound healing. Secondary endpoints: operative time, pain, wound closure, quality of life, cosmetic results, recurrence, and cost.
  • Patients were matched for age, sex, BMI, and number of pits.

Main Results:

  • Operative time was significantly shorter for PEBAI (20 min) compared to EPSIT (32 min).
  • Wound closure time was faster with EPSIT (32 days) than PEBAI (37 days).
  • Complete healing, recurrence rates, pain, quality of life, and wound complications were similar between groups. PEBAI was significantly cheaper (€54.8 vs €147.36).

Conclusions:

  • The PEBAI method is a viable, cost-effective alternative to EPSIT for pilonidal sinus disease.
  • PEBAI achieves comparable clinical outcomes to EPSIT with reduced procedure cost.
  • Further research may explore long-term efficacy and patient-reported outcomes.