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Pediatric endoscopic pilonidal sinus treatment (PEPSiT): report of a multicentric national study on 294 patients by Ciro Esposito; Ernesto Leva; Piergiorgio Gamba; Alberto Sgrò; Umberto Ferrentino; Alfonso Papparella; Fabio Chiarenza; Cosimo Bleve; Mario Mendoza-Sagaon; Ernesto Montaruli; Maria Escolino is a Medicine article available to read on EtoBox.

What is Pediatric endoscopic pilonidal sinus treatment (PEPSiT): report of a multicentric national study on 294 patients about?

This study aimed to report a multicentric national experience about the outcomes of pediatric endoscopic pilonidal sinus treatment (PEPSiT). The medical records of all pediatric patients, aged up to 18 years, who underwent PEPSiT in the period 2019–2021, were retrospectively reviewed. Patients’ demographics, operative details, and post-operative outcomes were assessed. A total of 294 patients (182 boys), with median age of 14 years (range 10–18), receiving PEPSiT in the study period, were enrolled. Pilonidal sinus disease (PSD) was primary in 258 (87.8%) and recurrent in 36 (12.2%). The median operative time was 36 min (range 11–120). The median VAS pain score was 0.86 (range 0–3) and the median duration of analgesic use was 27 h (range 12–60). The overall success rate was 95.2% (280/294) and the median time to full healing was 23.4 days (range 19–50). Six/294 (2.0%) patients developed Clavien 2 post-operative complications. The recurrence rate was 4.8% (14/294) and all recurrences were re-operated using PEPSiT. Redo-surgery for wound debridement was performed in one (0.3%) patient with late healing. On multivariate analysis, hirsutism and typology of sinus (pits ≥ 2, paramedian an

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Author

Ciro Esposito; Ernesto Leva; Piergiorgio Gamba; Alberto Sgrò; Umberto Ferrentino; Alfonso Papparella; Fabio Chiarenza; Cosimo Bleve; Mario Mendoza-Sagaon; Ernesto Montaruli; Maria Escolino

Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)