Minimally Invasive Pilonidal Sinus Treatment: EPSIT Versus PEBAI Method.

IF 1.1 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2024-02-01 DOI:10.1097/SLE.0000000000001245

Baris Gulcu, Ersin Ozturk

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引用次数: 0

Abstract

Purpose: We aimed to compare endoscopic pilonidal sinus treatment (EPSIT) and pit/sinus punch needle excision, brushing, ablation and irrigation (PEBAI) method that was performed with principles similar to EPSIT but without fistuloscope and vision in the treatment of pilonidal sinus disease (PSD).

Methods: Patients who underwent EPSIT and PEBAI methods for PSD in a single center between January 2020 and October 2021 were retrospectively analyzed. The primary endpoint was healing, the secondary endpoints were operative time, pain, wound closure, quality of life, cosmetic results, and cost.

Results: One hundred 4 patients who underwent EPSIT and 184 patients who underwent PEBAI were included in the study. Age ( P =0.871), sex ( P =0.669), BMI ( P =0.176), number of pits ( P =0.99) were similar in both groups. The operative time for PEBAI [20 min (18 to 32)] was shorter than EPSIT [32 min (24 to 44)] ( P <0.0000, u value=3096, z-score=-9.459). Postoperative first ( P =0.147) and 14th day( P =0.382) pain scores, postoperative analgesic requirements ( P =0.609), time to return to daily activities ( P =0.747), time to return to work ( P =0.345), and wound complications ( P =0.816) were similar, whereas the wound closure time was earlier after EPSIT [32 d (24 to 41)] than after PEBAI [37 d (26 to 58)] ( P <0.00001, u value=5344, z-score=6.22141). The median follow-up was 24 (12 to 34) months. Complete wound healing ( P =0.382), recurrence rate ( P =0.533), quality of life at first month and (Wound evaluation scale score at first year ( P =0.252) were similar in both groups. However, the cost of PEBAI [54.8 € (50.13 to 64.96)] was significantly lower than cost of EPSIT [147.36 € (132.53 to 169.60)] ( P <0.00001, u value=0, z-score=7.210).

Conclusions: PEBAI method is a cheaper alternative to EPSIT with similar surgical principles and clinical outcomes.

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微创针毛窦治疗:EPSIT与PEBAI方法。

目的:比较内镜下毛毛窦治疗(EPSIT)和穴/窦穿孔针切除、刷、消融和冲洗(PEBAI)方法治疗毛毛窦疾病(PSD)的效果。PEBAI的原理与EPSIT相似，但没有瘘管镜和视力。方法:回顾性分析2020年1月至2021年10月在单中心接受EPSIT和PEBAI方法治疗PSD的患者。主要终点是愈合，次要终点是手术时间、疼痛、伤口愈合、生活质量、美容效果和费用。结果:100例EPSIT患者和184例PEBAI患者被纳入研究。两组患者年龄(P=0.871)、性别(P=0.669)、BMI (P=0.176)、凹陷数(P=0.99)相近。PEBAI法的手术时间[20 min(18 ~ 32)]短于EPSIT法[32 min(24 ~ 44)](结论:PEBAI法是EPSIT法的一种更便宜的替代方法，其手术原理和临床效果相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.