Endoscopic Pilonidal Sinus Treatment (EPSIT) Vs Total Excision with Primary Closure (EPC) for Pilonidal Sinus Disease in Combined Military Hospital Rawalpindi

  • Muhammad Ali Muazzam Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
  • Syed Mukarram Hussain Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Tanvir Ahmed Quraishi Armed Forces Post Graduate Medical Institute/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Keywords: Excision with primary closure, Endoscopic pilonidal sinus treatment, Pilonidal sinus

Abstract

Objective: To compare endoscopic pilonidal sinus treatment (EPSIT) vs total excision with primary closure (EPC) for pilonidal sinus disease in Combined Military Hospital Rawalpindi regarding intra and post-operative outcomes.

Study Design: Comparative cross-sectional.

Place and Duration of Study: Department of Surgery, Combined Military Hospital Rawalpindi, from Sep 2017 to Aug 2018.

Methodology: A total of 94 patients, all male patients were included. All 94 have primary pilonidal sinus; Patient were randomized in a double-blind study to undergo EPSiT or EPC by non-probability, consecutive sampling into two equal groups.

Results: The mean ± age SD of patients was 28 years ± 2.6 years. All patients completed the follow-up. All 94 patients divided equally for EPSiT and EPC. The patients completed the follow-up. All 94 patients divided equally for EPSiT and EPC. Surgery duration of EPSiT with a median duration of 34.5 minutes (IQR 30-39) and EPC 40.5 minutes (IQR 35-46); The median hospital stay was 8.5 hours (IQR 4-14) in EPSIT and 21.5 hours (IQR 15-28) in EPC. Complete wound healing in EPSiT was 93.6% and EPC was 81%. Wound complication rate was lower for EPSiT 3 (6.3%) and 8 (17%) or EPC (p-value 0.108). One case of wound dehiscence reported in EPC. Recurrence occurred in EPSiT was 3(6.3%) and EPC 9(19.1%).

Conclusions: In our experience, EPSiT was viable as EPC in the treatment of pilonidal sinus.

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Published
2022-05-31
How to Cite
Muazzam, M., Hussain, S., & Quraishi, M. T. (2022). Endoscopic Pilonidal Sinus Treatment (EPSIT) Vs Total Excision with Primary Closure (EPC) for Pilonidal Sinus Disease in Combined Military Hospital Rawalpindi. PAFMJ, 72(SUPPL-2), S127-31. https://doi.org/10.51253/pafmj.v72iSUPPL-2.3304
Section
Original Articles

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