PMID- 37971236
OWN - NLM
STAT- MEDLINE
DCOM- 20240205
LR  - 20240206
IS  - 1534-4908 (Electronic)
IS  - 1530-4515 (Linking)
VI  - 34
IP  - 1
DP  - 2024 Feb 1
TI  - Minimally Invasive Pilonidal Sinus Treatment: EPSIT Versus PEBAI Method.
PG  - 48-53
LID - 10.1097/SLE.0000000000001245 [doi]
AB  - PURPOSE: We aimed to compare endoscopic pilonidal sinus treatment (EPSIT) and 
      pit/sinus punch needle excision, brushing, ablation and irrigation (PEBAI) method 
      that was performed with principles similar to EPSIT but without fistuloscope and 
      vision in the treatment of pilonidal sinus disease (PSD). METHODS: Patients who 
      underwent EPSIT and PEBAI methods for PSD in a single center between January 2020 
      and October 2021 were retrospectively analyzed. The primary endpoint was healing, 
      the secondary endpoints were operative time, pain, wound closure, quality of 
      life, cosmetic results, and cost. RESULTS: One hundred 4 patients who underwent 
      EPSIT and 184 patients who underwent PEBAI were included in the study. Age ( P 
      =0.871), sex ( P =0.669), BMI ( P =0.176), number of pits ( P =0.99) were similar 
      in both groups. The operative time for PEBAI [20 min (18 to 32)] was shorter than 
      EPSIT [32 min (24 to 44)] ( P <0.0000, u value=3096, z-score=-9.459). 
      Postoperative first ( P =0.147) and 14th day( P =0.382) pain scores, 
      postoperative analgesic requirements ( P =0.609), time to return to daily 
      activities ( P =0.747), time to return to work ( P =0.345), and wound 
      complications ( P =0.816) were similar, whereas the wound closure time was 
      earlier after EPSIT [32 d (24 to 41)] than after PEBAI [37 d (26 to 58)] ( P 
      <0.00001, u value=5344, z-score=6.22141). The median follow-up was 24 (12 to 34) 
      months. Complete wound healing ( P =0.382), recurrence rate ( P =0.533), quality 
      of life at first month and (Wound evaluation scale score at first year ( P 
      =0.252) were similar in both groups. However, the cost of PEBAI [54.8 euro (50.13 to 
      64.96)] was significantly lower than cost of EPSIT [147.36 euro (132.53 to 169.60)] 
      ( P <0.00001, u value=0, z-score=7.210). CONCLUSIONS: PEBAI method is a cheaper 
      alternative to EPSIT with similar surgical principles and clinical outcomes.
CI  - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Gulcu, Baris
AU  - Gulcu B
AD  - Department of Surgery, Bursa Medicana Hospital, Bursa, Turkey.
FAU - Ozturk, Ersin
AU  - Ozturk E
LA  - eng
PT  - Journal Article
DEP - 20240201
PL  - United States
TA  - Surg Laparosc Endosc Percutan Tech
JT  - Surgical laparoscopy, endoscopy & percutaneous techniques
JID - 100888751
SB  - IM
MH  - Humans
MH  - *Pilonidal Sinus/surgery
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Pain
MH  - Recurrence
COIS- The authors declare no conflicts of interest
EDAT- 2023/11/17 15:29
MHDA- 2024/02/05 06:44
CRDT- 2023/11/16 09:03
PHST- 2023/04/16 00:00 [received]
PHST- 2023/10/17 00:00 [accepted]
PHST- 2024/02/05 06:44 [medline]
PHST- 2023/11/17 15:29 [pubmed]
PHST- 2023/11/16 09:03 [entrez]
AID - 00129689-990000000-00188 [pii]
AID - 10.1097/SLE.0000000000001245 [doi]
PST - epublish
SO  - Surg Laparosc Endosc Percutan Tech. 2024 Feb 1;34(1):48-53. doi: 
      10.1097/SLE.0000000000001245.