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Endoscopic pilonidal sinus treatment: a prospective multicentre trial
- Source :
- Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. 18(5)
- Publication Year :
- 2015
-
Abstract
- Background Pilonidal disease (PD) is a common inflammatory disease of the gluteal fold, resulting in recurrent acute/chronic infection at the level of the natal cleft. In this study, endoscopic pilonidal sinus treatment (EPSiT), a new endoscopic minimally invasive procedure, was evaluated for its effectiveness in treating PD. Methods Two hundred and fifty prospective patients with chronic PD were enrolled in a prospective multicentre study conducted at a secondary and tertiary colorectal surgery centre. The primary end-point of this study was wound healing, and the short-/long-term outcomes such as healing time, morbidity rate and recurrence rate were analysed. The secondary end-point of this study was quality of life (QoL). Results The complete wound healing rate was 94.8%, and the mean complete wound healing time was 26.7 ± 10.4 days. The incomplete healing rate (5.2%) was significantly related to the number of external openings (P = 0.01). There was no difference in the failure rate when EPSiT was performed as the first-line treatment for PD or when it was used after unsuccessful procedures (P = n.s.). Recurrence occurred in 12 cases (5%). The QoL significantly increased from preoperative levels 15 days after the EPSiT procedure (45.3 vs 7.9; P
- Subjects :
- Adult
Male
medicine.medical_specialty
Intergluteal cleft
03 medical and health sciences
Young Adult
0302 clinical medicine
Pilonidal Sinus
Quality of life
Recurrence
medicine
Humans
Prospective Studies
Buttocks
Prospective cohort study
Pilonidal cyst
Wound Healing
medicine.diagnostic_test
business.industry
Mortality rate
Gastroenterology
Endoscopy
medicine.disease
Colorectal surgery
Surgery
medicine.anatomical_structure
Treatment Outcome
030220 oncology & carcinogenesis
Quality of Life
030211 gastroenterology & hepatology
Female
business
Subjects
Details
- ISSN :
- 14631318
- Volume :
- 18
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
- Accession number :
- edsair.doi.dedup.....c56342c0c4bc01e819b3efda47dc21b5