Comparison of Outcome after Open Pilonidal Sinus Treatment Versus Endoscopic Pilonidal Sinus Treatment (EPSIT)

Authors

  • Tariq Kamal Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Khurram Sarfaraz Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Faheem Ullah Naz Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Abdul Jabbar Khaskheli Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Zain Ul Abiden Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Rukh-E-Zanib Aftab Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i5.8074

Keywords:

Complications, Endoscopic pilonidal surgery, Open pilonidal surgery

Abstract

Objective: To compare the complications among open pilonidal sinus treatment versus endoscopic pilonidal sinus treatment (EPSIT).

Study Design: Comparative Cross-sectional Study.

Place and Duration of Study: Department of Surgery, Combined Military Hospital, Rawalpindi Pakistan, form Feb to
Nov 2021.

 

Methodology: The study was conducted on 150 patients who underwent pilonidal sinus treatment at our surgical unit.
Patients were randomly divided into two groups. Group-A underwent open pilonidal sinus surgery, while Group-B
underwent endoscopic pilonidal sinus treatment (EPSIT). Recurrence, bleeding, seroma formation and occurrence of wound
infection were compared in both groups.

Results: All of the 150 patients included in the final analysis were males. The mean age of patients who underwent surgery for pilonidal sinus in our study was 41.22±9.34 years. 79(43%) patients underwent the open surgical method, while 71(57%)
underwent the endoscopic one. All the complications were found statistically significant (p-value<0.05) in patients who
underwent open surgical procedures for pilonidal sinuses compared to those who underwent endoscopic surgical methods.

Conclusion: Endoscopic pilonidal surgery emerged as a better option than open pilonidal surgery. Patients undergoing open pilonidal surgery were more at risk of bleeding, recurrence, developing seroma and wound infections.

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Published

30-10-2023

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Section

Original Articles

How to Cite

1.
Kamal T, Khurram Sarfaraz, Faheem Ullah Naz, Abdul Jabbar Khaskheli, Zain Ul Abiden, Rukh-E-Zanib Aftab. Comparison of Outcome after Open Pilonidal Sinus Treatment Versus Endoscopic Pilonidal Sinus Treatment (EPSIT). Pak Armed Forces Med J [Internet]. 2023 Oct. 30 [cited 2024 Dec. 26];73(5):1414-7. Available from: https://pafmj.org/PAFMJ/article/view/8074