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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Posterior Approach for Debridement of the Psoas Abscess
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Pediatric Pilonidal Disease Surgical Approach (PPiDSA) Study.

Marta Rodríguez Ruiz1, Isabella Garavis Montagut2, Inmaculada Ruiz Jiménez3

  • 1Pediatric Surgery Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain.

Children (Basel, Switzerland)
|February 27, 2026
PubMed
Summary
This summary is machine-generated.

Endoscopic treatment for pediatric pilonidal sinus disease offers fewer complications and faster healing than traditional surgery. Recurrence rates were similar between the endoscopic and surgical excision groups in this study.

Keywords:
endoscopyminimally invasive surgical procedurespediatricspilonidal sinus

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Area of Science:

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

Background:

  • Traditional pilonidal sinus treatment involves wide surgical excision, often leading to prolonged recovery.
  • Minimally invasive techniques are being explored to improve patient outcomes.
  • Pediatric patients may benefit from less invasive surgical options.

Purpose of the Study:

  • To compare the outcomes of radical surgery versus endoscopic treatment for pilonidal sinus in pediatric patients.
  • To evaluate postoperative complications, healing time, and recurrence rates.
  • To assess the efficacy of minimally invasive endoscopic treatment in a pediatric population.

Main Methods:

  • A multicenter randomized comparative study involving 102 pediatric patients with pilonidal sinus.
  • Patients were divided into two groups: en bloc excision (Group 1) and endoscopic treatment (Group 2).
  • Data collected included demographic and clinical variables, complications, healing times, and recurrence rates over a median follow-up of 19 months.

Main Results:

  • Endoscopic treatment (Group 2) showed significantly fewer postoperative complications (20.8%) compared to radical surgery (Group 1) (53.7%).
  • Patients undergoing endoscopic treatment experienced faster healing (median 45 days) versus radical surgery (median 100 days).
  • No significant difference in recurrence rates was observed between the two groups after a median follow-up of 19 months.

Conclusions:

  • Endoscopic treatment for pediatric pilonidal sinus is associated with reduced postoperative complications and accelerated recovery compared to radical surgery.
  • The study found no significant difference in recurrence rates between endoscopic treatment and radical surgery.
  • Further long-term follow-up is recommended to validate these findings on recurrence rates.