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Pilonidal sinus (PS) is an acquired condition characterized by lesions at the median or paramedian intergluteal crease resulting from ingrown hair at the subcutaneous, deep sacrococcygeal tissue.1 Recurrence of PS after the surgical treatment is very common, with a reported postexcision incidence of approximately 20% and high morbidity rates.

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