Open AccessEndoscopic approach to complex or recurrent pilonidal sinus: A retrospective analysis
Author(s) -
Maione Francesco,
D'Amore Anna,
Milone Marco,
Vertaldi Sara,
Anoldo Pietro,
Chini Alessia,
Sorrentino Carmen,
Marello Alessandra,
Cantore Grazia,
Maione Rosa,
D'Angelo Salvatore,
D'Alesio Nicola,
De Simone Giuseppe,
Servillo Giuseppe,
De Palma Giovanni Domenico,
Manigrasso Michele
Publication year - 2023
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13980
Subject(s) - medicine , sinus (botany) , surgery , pilonidal disease , retrospective cohort study , multivariate analysis , hair removal , dermatology , randomized controlled trial , botany , genus , biology
Pilonidal Sinus is a benign, chronic disease that affects the hair follicles of the natal cleft of the sacrococcygeal area. Its ideal treatment is controversial, especially in complex or recurrent cases. The aim of this study is to evaluate the use of minimally invasive endoscopic approach in this setting. We enrolled patients affected by complex or recurrent sacrococcygeal pilonidal sinus from January 2015 through December 2020 who underwent Video‐Assisted Ablation of Pilonidal Sinus. All patients enrolled were re‐evaluated once a year with a standard physical examination. The patients included were 38. Recurrence rate at 1‐, 3‐ and 5‐years follow‐ups were 28.9%, 22.2% and 38.1% respectively. Of interest, the mean (SD) distance from the most lateral orifice to the midline was higher in group of patients with recurrence and the multivariate analysis demonstrated that it was the limiting factor, which influences the recurrence rate. In complex or recurrent pilonidal sinus disease with pits off the midline the endoscopic approach should not be the first choice. This makes us think that these cases should have their own classification to be identified and guide surgeons in choosing the appropriate approach.