A new minimally invasive treatment of pilonidal sinus disease with the use of a diode laser: a prospective large series of patients

2018 ◽  
Vol 20 (8) ◽  
pp. O207-O214 ◽  
Author(s):  
A. F. Pappas ◽  
D. K. Christodoulou
Keyword(s):  
Minimally Invasive ◽  
Diode Laser ◽  
Pilonidal Sinus ◽  
Large Series ◽  
Minimally Invasive Treatment ◽  
Pilonidal Sinus Disease ◽  
Invasive Treatment ◽  
Sinus Disease

A Retrospective Study of the Safety and Efficacy of a Radial Diode Laser Probe in the Management of Pilonidal Sinus Disease

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Frederico Bonito ◽  
Diogo Cerejeira ◽  
João Goulão ◽  
José de Assunção Gonçalves
Keyword(s):  
Retrospective Study ◽  
Diode Laser ◽  
Pilonidal Sinus ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Laser Probe ◽  
Safety And Efficacy

scholarly journals Scarless outpatient ablation of pilonidal sinus: a pilot study of a new minimally invasive treatment

2014 ◽  
Vol 13 (5) ◽  
pp. 705-708 ◽  
Author(s):  
Benedetto Neola ◽  
Stefano Capasso ◽  
Luca Caruso ◽  
Armando Falato ◽  
Giuseppe P Ferulano
Keyword(s):  
Pilot Study ◽  
Minimally Invasive ◽  
Pilonidal Sinus ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment

scholarly journals Primary Transverse Closure Compared to Open Wound Treatment for Primary Pilonidal Sinus Disease in Children

Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 187
Author(s):  
Michèle Pfammatter ◽  
Tobias E. Erlanger ◽  
Johannes Mayr
Keyword(s):  
Pilonidal Sinus ◽  
Wound Care ◽  
Outpatient Setting ◽  
Pilonidal Sinus Disease ◽  
Open Wound ◽  
Invasive Treatment ◽  
Sinus Disease ◽  
Explanatory Variables ◽  
Less Invasive ◽  
Open Wound Treatment

We aimed to compare the outcome of two different operative methods to correct pilonidal sinus disease (PSD) in children, i.e., excision and open wound care (OW) versus excision and primary transverse closure (PC) of the wound. In this retrospective, observational study, we extracted data from the medical records of 56 patients who underwent surgery for PSD at our institution between 1 January 2006 and 31 December 2016. To test whether the primary variable, i.e., rate of PSD recurrence, differed between the two surgical groups, a logistic regression model was fitted. Secondary explanatory variables were total length of stay (LOS) at the hospital, complications, sex and age of patients, seniority of the surgeon in charge, and volume of excised specimen. Overall, 32 (57%) children and young adults underwent OW, while 24 (43%) patients were treated by PC. Mean age at operation was 15.5 years in either group. PSD recurred in 12 of 32 (37.5%) children in the OW group and in 3 of 24 (12.5%) children in the PC group (ratio: 0.19, 95% confidence interval [95% CI] 0.03–1.07). Thus, treatment of primary PSD by PC proved superior with respect to PSD recurrence. Moreover, our study did not bring to light any high-grade complications in the PC group, and postoperative pain was minimal. Less invasive treatment approaches for chronic PSD are typically performed in an outpatient setting and offer reduced morbidity, low rates of PSD recurrence, and shortened periods of time to return to work or social activities. More radical operations of PSD should be reserved for recurrent PSD where less invasive approaches have failed several times.

scholarly journals Endoscopic Pilonidal Sinus Treatment (EPSIT): Is a New Minimally Invasive Treatment in Pilonidal Sinus

2021 ◽  
pp. 193-198
Author(s):  
Nawaz Ali Dal ◽  
Arshad Hussain Abro ◽  
Muhammad Anwar Memon ◽  
Ahmer Akbar Memon ◽  
Muhammad Qasim Mallah ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Minimally Invasive ◽  
Pilonidal Sinus ◽  
Daily Activities ◽  
Minimally Invasive Treatment ◽  
Complication Rates ◽  
Invasive Treatment ◽  
Early Return ◽  
The Mean ◽  
Operative Recovery

Objective: To determine the outcome of endoscopic pilonidal sinus treatment (EPSIT): Is a new minimally invasive treatment in pilonidal sinus. Study Design: This is a observational study. Setting: Study carried out at General Surgery department, Liaquat University of Medical and Health Sciences Jamshoro, form March 2020 to Feb 2021. Materials and Methods:  Patients aged between 20-40 years, both gender having sinus in the cleft of the buttocks on clinical examination with associated symptoms like pain when sitting or standing, reddened, sore skin around the area, pus or blood draining from sinus, hair protruding from the lesion and formation of more than one sinus tract, or holes in the skin were included in this study. Patients with abscess and recurrent pilonidal sinus were excluded. Outcome measurements were postoperative pain, return to normal daily activities and complication rates including infection, recurrence. Results: 44 patients with Pilonidal Sinus were included in this study.  15 to 40 years with mean age ± SD (range) was 26.56±4.1 years. 40(90.90%) were male where as 4(9.09%) were females. Mostly patients have single external openings in 37(84.09%) patients with midline opening location in 26(59.09%) patients. The mean operative time±SD (range) was 21.09±3.62 minutes (15 to 45 min). According to the visual analog scale (VAS) score for postoperative pain assessment after 48 hours of surgery, 36 patients (81.81%) reported a VAS between 1 to 3, and 8(18.18%) reported a score between 4 to 6. Postoperative wound infection was seen in one case 2.27% while recurrence was observed in two cases 4.54%. The overall healing rate was 93.18%. The mean time to return to normal daily activities was 6.1±11 (range, 2–15) days.  Conclusion: To conclude that the EPSiT is safe, effective, simple, repeatable and very welcomed by the patients if explained correctly. We can say that EPSiT can be labeled as a day surgery, with fast post-operative recovery and early return to work.

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