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European Surgery
Published in: European Surgery 6/2017

01-12-2017 | original scientific paper

Videoendoscopic pilonidal sinus surgery: early results with a new technique

Authors: Enver Kunduz, MD, Ufuk Oguz Idiz, MD TC, Prof. Erhan Aysan, MD, Mehmet Guzel, MD, Yunus Yapalak, MD, Lutfullah Baskoy, MD

Published in: European Surgery | Issue 6/2017

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Summary

Background

We adapted a laparoscopic surgical technique to sacrococcygeal pilonidal sinus disease (SPSD) treatment.

Methods

The study included 18 cases. All patients were operated on under spinal anesthesia. Two 5‑mm trocars were placed 5 cm lateral to the intergluteal area. Sinus tracts, granulation tissues, and surrounding inflamed areas were dissected and removed through the trocar openings.

Results

Recurrence was detected in two patients within the first 3 months. Skin burn was observed in one patient and hematoma developed in another patient. All recurrences and complications were seen in the first group of nine cases. The mean follow-up period was 71.5 months (58–79 months). The mean operation time was 44 min and the mean hospital stay was 1 day.

Conclusion

Herein, we describe for the first time a lateral access videoendoscopic technique. After a learning curve, this minimally invasive new technique for SPSD treatment may reduce recurrences, wound complications, and the wide incision required by other techniques.
Literature
1.
2.
3.
Harlak A, Mentes O, Kilic S, Coskun K, Duman K, Yilmaz F. Sacrococcygeal pilonidal disease: analysis of previously proposed risk factors. Clinics (Sao Paulo). 2010;65:125–31.CrossRef
4.
Spivak H, Brooks VL, Nussbaum M, et al. Treatment of chronic pilonidal disease. Dis Colon Rectum. 1996;39:1136–9.CrossRefPubMed
5.
Chintapatla S, Safarani N, Kumar S, Haboubi N. Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Tech Coloproctol. 2003;7:3–8.CrossRefPubMed
6.
Soreide K. The best surgical technique for chronic pilonidal disease, is this question still open, or closed. Nat Clin Pract Gastroenterol Hepatol. 2009;6:20–2.CrossRefPubMed
7.
McCallum IJ, King PM, Bruce J. Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and meta-analysis. BMJ. 2008;336:868–71.CrossRefPubMedPubMedCentral
8.
9.
Senapati A, Cripps NPJ, Thompson MR. Bascom’s operation in the day-surgical management of symptomatic pilonidal sinus. Br J Surg. 2000;87:1067–70.CrossRefPubMed
10.
Doll D, Novotny A, Rothe R, Kristiansen JE, Wietelmann K, Boulesteix AL, Düsel W, Petersen S. Methylene Blue halves the long-term recurrence rate in acute pilonidal sinus disease. Int J Colorectal Dis. 2008;23:181–7.CrossRefPubMed
11.
12.
Chia CL, Tay VW, Mantoo SK. Endoscopic pilonidal sinus treatment in the Asian population. Surg Laparosc Endosc Percutan Tech. 2015;25(3):e95–e7.CrossRefPubMed
13.
14.
15.
Karydakis GE. New approach to the problem of pilonidal sinus. Lancet. 1973;22:1414–5.CrossRef
Metadata
Title
Videoendoscopic pilonidal sinus surgery: early results with a new technique
Authors
Enver Kunduz, MD
Ufuk Oguz Idiz, MD TC
Prof. Erhan Aysan, MD
Mehmet Guzel, MD
Yunus Yapalak, MD
Lutfullah Baskoy, MD
Publication date
01-12-2017
Publisher
Springer Vienna
Published in
European Surgery / Issue 6/2017
Print ISSN: 1682-8631
Electronic ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-017-0497-6

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