Minimally invasive techniques in the management of pilonidal disease

International Journal of Colorectal Disease
Ramya KalaiselvanRajasundaram Rajaganeshan

Abstract

Pilonidal sinus disease (PD) is a chronic condition involved in natal cleft. Excision surgery carries equally morbid course of recovery to that of disease itself. Minimally invasive treatments therefore have been developed to minimise morbidity and improve healing rates. This review looks at the literature on effectiveness of endoscopic pilonidal sinus treatment (EPSiT) and compares that of the other minimally invasive techniques in practice. MEDLINE, EMBASE, Cochrane and CINAHL databases were searched to look at the peer-reviewed articles on minimally invasive treatments on PD. Primary endpoint was to determine complication rates. Data were pooled using random effect model. Heterogeneity among studies was estimated with χ2 tests. Statistical analysis was performed with Review Manager Version 5.1.2. Out of 371 papers, ten were retrieved for full appraisal. One randomised clinical trial (RCT) and four case series presented retrospective data on EPSiT. Five RCTs were on alternative minimally invasive treatments. Complication rate, return to work, wound healing rate and pain scores were superior in minimally invasive treatments compared to excision surgery. There was no statistically significant difference in complication rate or ...Continue Reading

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Citations

Dec 11, 2019·World Journal of Surgery·Francesco GuerraAngelo Di Castro
Apr 6, 2020·International Journal of Colorectal Disease·Vahit Onur Gul, Sabahattin Destek
Nov 6, 2020·Techniques in Coloproctology·A Di Castro, F Guerra
Mar 16, 2021·Frontiers in Surgery·Mackenzie N AbrahamSaleem Islam
Mar 24, 2021·Techniques in Coloproctology·P GiordanoC A Leo
May 8, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Saed KhaliliehEdward Ram
Jul 23, 2021·Lasers in Medical Science·Ivan RomicTrpimir Moric
Jan 12, 2020·International Journal of Surgery·Marco MiloneGiovanni Domenico De Palma

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