CC BY-NC-ND 4.0 · Journal of Coloproctology 2021; 41(01): 104-108
DOI: 10.1055/s-0041-1726080
Technical Note

Pediatric Endoscopic Pilonidal Sinus Treatment (PEPSiT): Technical Description and Initial Experience

Tratamento endoscópico pediátrico do seio pilonidal (PePSiT, em inglês): Descrição técnica e experiência inicial
1   Sociedade Brasileira de Coloproctologia, Brazil
2   Coloproctology Service, Hospital Geral Roberto Santos, Salvador, Bahia, Brazil
,
1   Sociedade Brasileira de Coloproctologia, Brazil
,
Lucca Sarmiento Bahia Sapucaia
3   Faculdade de Medicina, Universidade Salvador (UNIFACS), Salvador, Bahia, Brazil
,
1   Sociedade Brasileira de Coloproctologia, Brazil
4   Associação Brasileira de Cirurgia Pediátrica, Brazil
› Institutsangaben

Abstract

Pilonidal sinus is an acquired condition characterized by lesions at the median or paramedic intergluteal crease resulting form in grown hair at the subcutaneous, deep sacrococcygeal issue. Multiple surgical methods have been described, the optimal pilonidal sinus treatment remains controversial. The preset retrospective study reports outcome form pediatric endoscopic pilonidal sinus treatment in patient under 18 years old.

Resumo

O seio pilonidal é uma condição adquirida caracterizada por lesões na prega interglútea mediana ou paramédica, resultando em cabelo crescido na área subcutânea e profunda do sacrococcígeo. Vários métodos cirúrgicos foram descritos, o tratamento ideal do seio pilonidal permanece controverso. O estudo retrospectivo predefinido relata os resultados do tratamento endoscópico do seio pilonidal pediátrico em pacientes com menos de 18 anos de idade.



Publikationsverlauf

Eingereicht: 21. Juli 2020

Angenommen: 30. August 2020

Artikel online veröffentlicht:
19. März 2021

© 2021. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Zagory JA, Golden J, Holoyda K, Demeter N, Nguyen NX. Excision and primary closure may be the better option in the surgical management of pilonidal disease in the pediatric population. Am Surg 2016; 82 (10) 964-967
  • 2 Yücesan S, Dindar H, Olcay I. et al. Prevalence of congenital abnormalities in Turkish school children. Eur J Epidemiol 1993; 9 (04) 373-380 DOI: 10.1007/BF00157393.
  • 3 Nasr A, Ein SH. A pediatric surgeon's 35-year experience with pilonidal disease in a Canadian children's hospital. Can J Surg 2011; 54 (01) 39-42 DOI: 10.1503/cjs.028509.
  • 4 Braungart S, Powis M, Sutcliffe JR, Sugarman ID. Improving outcomes in pilonidal sinus disease. J Pediatr Surg 2016; 51 (02) 282-284
  • 5 Arda IS, Güney LH, Sevmiş S, Hiçsönmez A. High body mass index as a possible risk factor for pilonidal sinus disease in adolescents. World J Surg 2005; 29 (04) 469-471
  • 6 Meinero P, Mori L, Gasloli G. Endoscopic pilonidal sinus treatment (E.P.Si.T.). Tech Coloproctol 2014; 18 (04) 389-392 DOI: 10.1007/s10151-013-1016-9.
  • 7 Mendes CRS, Ferreira LSM, Sapucaia RA, Lima MA. Endoscopic pilonidal sinus treatment (E.P.Si.T.): a minimally invasive approach. J Coloproctol (Rio J) 2015; 35 (01) 72-75
  • 8 Mendes CRS, Ferreira LSM, Sapucaia RA, Lima MA, Araujo SEA. VAAFT videoassited anal fistula treatment: a new approach for anal fistula. J Coloproctol (Rio J) 2014; 34: 62-64
  • 9 Fike FB, Mortellaro VE, Juang D, Ostlie DJ, St Peter SD. Experience with pilonidal disease in children. J Surg Res 2011; 170 (01) 165-168
  • 10 González-Temprano N, Sánchez-Vázquez M, Ayuso-González L, Pisón-Chacón J, Pérez-Martínez A. [Are we correctly treating pilonidal disease in children? therapeutic goals beyond preventing recurrence]. Cir Pediatr 2011; 24 (03) 161-164
  • 11 Al-Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev 2010; 1 (01) CD006213
  • 12 Bütter A, Hanson M, VanHouwelingen L, Merritt N, Seabrook J. Hair epilation versus surgical excision as primary management of pilonidal disease in the pediatric population. Can J Surg 2015; 58 (03) 209-211
  • 13 al-Hassan HK, Francis IM, Neglén P. Primary closure or secondary granulation after excision of pilonidal sinus?. Acta Chir Scand 1990; 156 (10) 695-699
  • 14 Sharma PP. Multiple Z-plasty in pilonidal sinus--a new technique under local anesthesia. World J Surg 2006; 30 (12) 2261-2265 DOI: 10.1007/s00268-005-0632-6.
  • 15 Esposito C, Izzo S, Turrà F. et al. Pediatric endoscopic pilonidal sinus treatment, a revolutionary technique to adopt in children with pilonidal sinus fistulas: our preliminar experience. J Laparoendosc Adv Surg Tech A 2018; 28 (03) 359-363
  • 16 Lee SL, Tejirian T, Abbas MA. Current management of adolescent pilonidal disease. J Pediatr Surg 2008; 43 (06) 1124-1127 DOI: 10.1016/j.jpedsurg.2008.02.042.
  • 17 Yildiz T, Ilce Z, Kücük A. Modified Limberg flap technique in the treatment of pilonidal sinus disease in teenagers. J Pediatr Surg 2014; 49 (11) 1610-1613 DOI: 10.1016/j.jpedsurg.2014.06.011.
  • 18 Sequeira JB, Coelho A, Marinho AS, Bonet B, Carvalho F, Moreira-Pinto J. Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population. J Pediatr Surg 2018; 53 (10) 2003-2007 DOI: 10.1016/j.jpedsurg.2018.02.094.
  • 19 Pini Prato A, Mazzola C, Mattioli G. et al. Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series. Pediatr Surg Int 2018; 34 (06) 687-692 DOI: 10.1007/s00383-018-4262. 0. Epub 2018 Apr 19