Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review

Submitted: 27 December 2021
Accepted: 1 February 2022
Published: 15 March 2022
Abstract Views: 1478
PDF: 683
HTML: 32
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Pilonidal sinus is a common disease of the natal cleft, which can lead to complications including infection and abscess formation. Various operative techniques are available options for the treatment of this pathology, but the ideal technique is still debatable. Analyzing the literature we found out that more recently minimally invasive approaches have been described. In particular, the mechanism of an endoscopic approach relies on the use of the endoscope without cutaneous tissue damage. Advantages include shorter operative time and time to discharge, which impact resource management in both primary and secondary care: patients undergoing endoscopic technique have a high satisfaction rate, probably due to the low level of postoperative pain and early return to daily activities. Published results of studies of newer approaches have demonstrated a lower short and long-term complication rate compared to open surgery. However, very poor reports are available in literature about pediatric population.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Giarratano G, Toscana C, Shalaby M, et al. Endoscopic pilonidal sinus treatment: Long term results of a prospective series. JSLS 2017;21:1–6. DOI: https://doi.org/10.4293/JSLS.2017.00043
De Parades V, Bouchard D, Janier M, Berger A. Pilonidal sinus disease. J Visc Surg 2013;150:237–47. DOI: https://doi.org/10.1016/j.jviscsurg.2013.05.006
Chintapatla S, Safarani N, Kumar S, Haboubi N. Sacrococcygeal pilonidal sinus: Historical review, pathological insight and surgical options. Tech Coloproctol 2003;7:3–8. DOI: https://doi.org/10.1007/s101510300001
Mayo OH. Observations on Injuries and Diseases of the Rectum. London: Burgess and Hill, 1833. DOI: https://doi.org/10.1097/00000441-183408000-00013
Burhan HK, Selim S. Disease that should be remembered: Sacrococcygeal pilonidal sinus disease and short history. World J Clin Cases 2015;3:876–879 DOI: https://doi.org/10.12998/wjcc.v3.i10.876
Esposito C, Turrà F, Cerulo M, et al. Technical standardization of MIS management of children with pilonidal sinus disease using pediatric endoscopic pilonidal sinus treatment (PEPSiT) and laser epilation. J Pediatr Surg 2020;55:761-6. DOI: https://doi.org/10.1016/j.jpedsurg.2019.04.031
Segre D, Pozzo M, Perinotti R, et al. The treatment of pilonidal disease: Guidelines of the Italian Society of Colorectal Surgery (SICCR). Tech Coloproctol 2015;19:607–13. DOI: https://doi.org/10.1007/s10151-015-1369-3
Bascom J. Surgical treatment of pilonidal disease. BMJ 2008;336:842–3. DOI: https://doi.org/10.1136/bmj.39535.397292.BE
Milito G, Cortese F, Casciani CU. Rhomboid flap procedurefor pilonidal sinus: Results from 67 cases. Int J Colorectal Dis 1998;13:113–5. DOI: https://doi.org/10.1007/s003840050146
Enriquez-Navascues JM, Emparanza JI, Alkorta M, Placer C. Meta-analysis of randomized controlled trials comparing different techniques with primary closure for chronic pilonidal sinus. Tech Coloproctol 2014;18:863–72. DOI: https://doi.org/10.1007/s10151-014-1149-5
Doll D, Krueger CM, Schrank S, et al. Timeline of recurrence after primary and secondary pilonidal sinus surgery. Dis Colon Rectum 2007;50:1928–34. DOI: https://doi.org/10.1007/s10350-007-9031-4
Fike FB, Mortellaro VE, Juang D, et al. Experience with pilonidal disease in children. J Surg Res 2011;170:165–8. DOI: https://doi.org/10.1016/j.jss.2011.02.016
Meinero P, Mori L, Gasloli G. Endoscopic pilonidal sinus treatment (E.P.Si.T.). Tech Coloproctol 2014;18:389–92. DOI: https://doi.org/10.1007/s10151-013-1016-9
Sequeira JB, Coelho A, Marinho AS, et al. Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population. J Pediatr Surg 2018;53:2003–7. DOI: https://doi.org/10.1016/j.jpedsurg.2018.02.094
Esposito C, Izzo S, Turra F, et al. Pediatric endoscopic pilonidal sinus treatment, a revolutionary technique to adopt in children with pilonidal sinusfistulas: Our preliminary experience. J Laparoendosc Adv Surg Tech A 2018;28:359–63. DOI: https://doi.org/10.1089/lap.2017.0246
Pini Prato A, Mazzola C, Mattioli G, et al. Preliminary report on endoscopic pilonidalsinus treatment in children: Results of a multicentric series. Pediatr Surg Int 2018;34:687–92. DOI: https://doi.org/10.1007/s00383-018-4262-0
Zagory JA, Golden J, Holoyda K, et al. Excision and primary closure may be the better option inthe surgical management of pilonidal disease in the pediatric population. Am Surg 2016;82:964–7. DOI: https://doi.org/10.1177/000313481608201023
Allen-Mersh TG. Pilonidal sinus: finding the right track for treatment. Br J Surg 1990;77:123-32. DOI: https://doi.org/10.1002/bjs.1800770203
Hull TL, Wu J. Pilonidal disease. Surg Clin North Am 2002;82:1169-85. DOI: https://doi.org/10.1016/S0039-6109(02)00062-2
Anyanwu AC, Hossain S, Williams A, Montgomery AC. Karydakis operation for sacrococcygeal pilonidal sinus disease: Experience in a district general hospital. Ann RColl Surg Engl 1998;80:197–9.
Soll C, Hahnloser D, Dindo D, et al. A novelapproach for treatment of sacrococcygeal pilonidal sinus: less is more, Int J Colorectal Dis 2008;23:177-80. DOI: https://doi.org/10.1007/s00384-007-0377-9
Gips M, Melki Y, Salem L, et al. Minimal surgery for pilonidal disease using trephines: description of a newtechnique and long-term outcomes in 1,358 patients. Dis Colon Rectum 2008;51:1656-62. DOI: https://doi.org/10.1007/s10350-008-9329-x
Elbanna HG, Emile SH, Youssef M, et al. Novel approach of treatment of pilonidal sinus disease with thrombin gelatin matrix as a sealant. Dis Colon Rectum 2016;59:775-80. DOI: https://doi.org/10.1097/DCR.0000000000000604
Meinero P, Stazi A, Carbone A, et al. Endoscopic pilonidal sinus treatment: a prospective multicentre trial. Colorectal Dis 2016;18:0164-70 DOI: https://doi.org/10.1111/codi.13322
Aydede H, Erhan Y, Sakarya S. Comparison of three methods in surgical treatment of pilonidal disease. ANZ J Surg 2001;71:362-4. DOI: https://doi.org/10.1046/j.1440-1622.2001.2129.x
Milone M, Velotti N, Minigrasso M, et al. Long-term follow-up for pilonidal sinus surgery. A review of literature with metanalysis. Surgeon 2018;16:315-20. DOI: https://doi.org/10.1016/j.surge.2018.03.009

How to Cite

Cerulo, M., Turco, A., & Esposito, C. (2022). Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review. La Pediatria Medica E Chirurgica, 44(1). https://doi.org/10.4081/pmc.2022.281

Similar Articles

<< < 8 9 10 11 12 13 14 15 16 17 > >> 

You may also start an advanced similarity search for this article.