Video-assisted ablation of pilonidal sinus: a new minimally invasive treatment--a pilot study.

Abstract

BACKGROUND:

We hypothesized that video-assisted ablation of pilonidal sinus could be an effective, minimally invasive treatment of pilonidal sinus. This new, minimally invasive treatment allows the identification of the sinus cavity with its lateral tracks, destruction and the removal of all infected tissue, and the removal of any hair.

STUDY DESIGN:

All consecutive patients with primary sacrococcygeal pilonidal sinus were screened for enrolment in our study. We analyzed time off work, time to walk without pain, time to sitting on the toilet without pain, recurrences, wound infections, and patient satisfaction (pain, health status, and aesthetic appearance).

RESULTS:

We analyzed 27 patients. All procedures were successful, with complete ablation of the sinus cavity. No infection and only 1 recurrence were recorded during the follow-up (1 year) with an immediate return to work and normal activities. In addition, patient satisfaction and aesthetic appearance were high.

CONCLUSION:

Our results are encouraging and suggest that this technique may offer a very effective way to treat pilonidal sinus. Further studies are necessary to validate its use in daily practice.

• Authors: Marco Milone, Mario Musella, Attilio Di Spiezio Sardo, Giuseppe Bifulco, Giuseppe Salvatore, Loredana Maria Sosa Fernandez, Paolo Bianco, Brunella Zizolfi, Carmine Nappi, Francesco Milone
• Journal: Surgery (Surgery) Vol. 155 Issue 3 Pg. 562-6 (Mar 2014) ISSN: 1532-7361 [Electronic] United States
• PMID: 24300343 (Publication Type: Clinical Trial, Journal Article)
• Copyright: Copyright © 2014 Mosby, Inc. All rights reserved.

Topics

• Ablation Techniques (instrumentation, methods)
• Adult
• Female
• Follow-Up Studies
• Humans
• Male
• Pain Measurement
• Patient Satisfaction
• Pilonidal Sinus (surgery)
• Pilot Projects
• Recovery of Function
• Recurrence
• Return to Work
• Treatment Outcome
• Video-Assisted Surgery (instrumentation, methods)