Outcomes of endoscopic pilonidal sinus treatment (EPSiT): a systematic review

Techniques in Coloproctology
T TienT Arulampalam

Abstract

Pilonidal sinus is a common disease of the natal cleft, which can lead to complications including infection and abscess formation. Various operative management options are available, but the ideal technique is still debatable. More recently minimally invasive approaches have been described. Our aim was to review the current literature on endoscopic pilonidal sinus treatment (EPSiT) and its outcomes. A systematic literature review was conducted and reported in accordance to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A search of EMBASE, MEDLINE and Cochrane Library was conducted in November 2017. Full-text studies on the use of endoscopy for the treatment of pilonidal sinus were included in the review. Initial search results returned 52 articles. Eight studies (eight case series and one randomised control trial) were included in the final qualitative synthesis. These studies demonstrated that EPSiT has good complete healing rates and low recurrence rates. There was also a high level of patient satisfaction and little time taken off work. Two studies reported modifications to the original technique. The main limitation was the lack of comparative studies. Initial studies on EPSiT ha...Continue Reading

References

Feb 1, 1990·The British Journal of Surgery·T G Allen-Mersh
Jan 1, 1995·International Journal of Colorectal Disease·K SøndenaaJ A Søreide
May 17, 2003·Techniques in Coloproctology·S ChintapatlaN Haboubi
Feb 20, 2007·ANZ Journal of Surgery·Anil KeshavaGael Sinclair
Oct 19, 2007·The Cochrane Database of Systematic Reviews·I McCallumJ Bruce
Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Sep 29, 2009·Lancet·Peter McCullochJan Vandenbroucke
Oct 13, 2009·World Journal of Surgery·Ilknur KepenekciIbrahim Ethem Gecim
Apr 16, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A GunerU Kucuktulu
May 18, 2013·Techniques in Coloproctology·P MeineroG Gasloli
Sep 13, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M MiloneF Milone
May 29, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Clement L K ChiaSurendra K Mantoo
Sep 18, 2015·Techniques in Coloproctology·D SegreUNKNOWN Italian Society of Colorectal Surgery
Mar 8, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Piercarlo MeineroMarco La Torre
Mar 8, 2017·Diseases of the Colon and Rectum·Ibrahim Ethem GecimHaydar Celasin
Sep 15, 2017·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Gabriella GiarratanoPierpaolo Sileri

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Citations

Aug 16, 2019·Asian Journal of Endoscopic Surgery·Jacques Eastment, Kellee Slater
Oct 24, 2019·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Carlos Ramon Silveira MendesLeonardo Salim
Feb 6, 2019·International Journal of Colorectal Disease·Piercarlo MeineroFabrizio Fasolini
Jun 20, 2019·Frontiers in Pediatrics·Ana Isabel OliveiraJorge Correia-Pinto
Aug 23, 2019·International Journal of Colorectal Disease·A NoorahM Kantowski
Oct 13, 2020·International Journal of Surgery Case Reports·Gianmattia TerraccianoLudovico Docimo
Mar 18, 2021·Techniques in Coloproctology·M KumarD Hind
Mar 24, 2021·Techniques in Coloproctology·P GiordanoC A Leo
May 6, 2021·Langenbeck's Archives of Surgery·I IesalnieksD Doll
May 9, 2021·Journal of Visceral Surgery·J Cahais
Jul 23, 2021·Lasers in Medical Science·Ivan RomicTrpimir Moric
Aug 27, 2021·Frontiers in Surgery·Gaetano GalloGiuseppe Sammarco
Jul 27, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Baris Gulcu, Ersin Ozturk

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