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Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience
Background: Pilonidal disease (PD) represents one of the most common proctological diseases in young adults. Although several approaches to treating PD have been described, there is still a lack of agreement on which is the best. The aim of this study was to evaluate the long-term efficacy of endosc...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381271/ https://www.ncbi.nlm.nih.gov/pubmed/34434960 http://dx.doi.org/10.3389/fsurg.2021.723050 |
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author | Gallo, Gaetano Carpino, Antonio De Paola, Gilda Fulginiti, Serena Novelli, Eugenio Ferrari, Francesco Sammarco, Giuseppe |
author_facet | Gallo, Gaetano Carpino, Antonio De Paola, Gilda Fulginiti, Serena Novelli, Eugenio Ferrari, Francesco Sammarco, Giuseppe |
author_sort | Gallo, Gaetano |
collection | PubMed |
description | Background: Pilonidal disease (PD) represents one of the most common proctological diseases in young adults. Although several approaches to treating PD have been described, there is still a lack of agreement on which is the best. The aim of this study was to evaluate the long-term efficacy of endoscopic pilonidal sinus treatment (EPSiT) at a tertiary care academic center. Methods: Between June 2017 and January 2021, a total of 32 patients [12 women (37.5%) and 20 men (62.5%)] with a mean age of 29.22 ± 12.98 years were treated with EPSiT. Pre- and post-operative symptoms were assessed with a score of 0–5. Success was defined as the absence of any subjective symptoms, as well as by complete post-operative wound healing. Results: Most of the patients had a midline external opening (17/32; 53.1%), with a mean number of external openings of 2.41 (1–4) ± 1.04. The median post-operative pain score was 0, and the mean follow-up period was 22 (4–42) ± 11.49 months. The time to wound healing was reduced in patients with one opening (28.14 ± 4.06 days) compared to patients with two or more openings (33.64 ± 7.3 days) (p = 0.067). The mean operative time was longer in patients who subsequently had a recurrence (41.75 ± 6.24 vs. 34.18 ± 6.24 min; p = 0.031). The overall success rate was 87.5% (28/32), and the mean time to recurrence was 3.25 (2–5) ± 1.26 months. Conclusions: EPSiT represents a viable option for the treatment of PD. More evidence and a longer follow-up period are needed to validate the results. |
format | Online Article Text |
id | pubmed-8381271 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-83812712021-08-24 Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience Gallo, Gaetano Carpino, Antonio De Paola, Gilda Fulginiti, Serena Novelli, Eugenio Ferrari, Francesco Sammarco, Giuseppe Front Surg Surgery Background: Pilonidal disease (PD) represents one of the most common proctological diseases in young adults. Although several approaches to treating PD have been described, there is still a lack of agreement on which is the best. The aim of this study was to evaluate the long-term efficacy of endoscopic pilonidal sinus treatment (EPSiT) at a tertiary care academic center. Methods: Between June 2017 and January 2021, a total of 32 patients [12 women (37.5%) and 20 men (62.5%)] with a mean age of 29.22 ± 12.98 years were treated with EPSiT. Pre- and post-operative symptoms were assessed with a score of 0–5. Success was defined as the absence of any subjective symptoms, as well as by complete post-operative wound healing. Results: Most of the patients had a midline external opening (17/32; 53.1%), with a mean number of external openings of 2.41 (1–4) ± 1.04. The median post-operative pain score was 0, and the mean follow-up period was 22 (4–42) ± 11.49 months. The time to wound healing was reduced in patients with one opening (28.14 ± 4.06 days) compared to patients with two or more openings (33.64 ± 7.3 days) (p = 0.067). The mean operative time was longer in patients who subsequently had a recurrence (41.75 ± 6.24 vs. 34.18 ± 6.24 min; p = 0.031). The overall success rate was 87.5% (28/32), and the mean time to recurrence was 3.25 (2–5) ± 1.26 months. Conclusions: EPSiT represents a viable option for the treatment of PD. More evidence and a longer follow-up period are needed to validate the results. Frontiers Media S.A. 2021-08-09 /pmc/articles/PMC8381271/ /pubmed/34434960 http://dx.doi.org/10.3389/fsurg.2021.723050 Text en Copyright © 2021 Gallo, Carpino, De Paola, Fulginiti, Novelli, Ferrari and Sammarco. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Gallo, Gaetano Carpino, Antonio De Paola, Gilda Fulginiti, Serena Novelli, Eugenio Ferrari, Francesco Sammarco, Giuseppe Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience |
title | Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience |
title_full | Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience |
title_fullStr | Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience |
title_full_unstemmed | Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience |
title_short | Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience |
title_sort | endoscopic pilonidal sinus treatment: a tertiary care academic center experience |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381271/ https://www.ncbi.nlm.nih.gov/pubmed/34434960 http://dx.doi.org/10.3389/fsurg.2021.723050 |
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