Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review

Pilonidal sinus is a common disease of the natal cleft, which can lead to complications including infection and abscess formation. Various operative techniques are available options for the treatment of this pathology, but the ideal technique is still debatable. Analyzing the literature we found ou...

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Main Authors: Mariapina Cerulo, Assunta Turco, Ciro Esposito
Format: Article
Language:English
Published: PAGEPress Publications 2022-03-01
Series:La Pediatria Medica e Chirurgica
Subjects:
Online Access:http://www.pediatrmedchir.org/index.php/pmc/article/view/281
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author Mariapina Cerulo
Assunta Turco
Ciro Esposito
author_facet Mariapina Cerulo
Assunta Turco
Ciro Esposito
author_sort Mariapina Cerulo
collection DOAJ
description Pilonidal sinus is a common disease of the natal cleft, which can lead to complications including infection and abscess formation. Various operative techniques are available options for the treatment of this pathology, but the ideal technique is still debatable. Analyzing the literature we found out that more recently minimally invasive approaches have been described. In particular, the mechanism of an endoscopic approach relies on the use of the endoscope without cutaneous tissue damage. Advantages include shorter operative time and time to discharge, which impact resource management in both primary and secondary care: patients undergoing endoscopic technique have a high satisfaction rate, probably due to the low level of postoperative pain and early return to daily activities. Published results of studies of newer approaches have demonstrated a lower short and long-term complication rate compared to open surgery. However, very poor reports are available in literature about pediatric population.
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spelling doaj.art-e301653a83e34e1b85c1a4c7bde0b8e92022-12-22T01:00:40ZengPAGEPress PublicationsLa Pediatria Medica e Chirurgica0391-53872420-77482022-03-0144110.4081/pmc.2022.281Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative reviewMariapina Cerulo0Assunta Turco1Ciro Esposito2University of Naples Federico IIDivision of Pediatric Surgery, Federico II University of Naples, NaplesDivision of Pediatric Surgery, Federico II University of Naples, Naples Pilonidal sinus is a common disease of the natal cleft, which can lead to complications including infection and abscess formation. Various operative techniques are available options for the treatment of this pathology, but the ideal technique is still debatable. Analyzing the literature we found out that more recently minimally invasive approaches have been described. In particular, the mechanism of an endoscopic approach relies on the use of the endoscope without cutaneous tissue damage. Advantages include shorter operative time and time to discharge, which impact resource management in both primary and secondary care: patients undergoing endoscopic technique have a high satisfaction rate, probably due to the low level of postoperative pain and early return to daily activities. Published results of studies of newer approaches have demonstrated a lower short and long-term complication rate compared to open surgery. However, very poor reports are available in literature about pediatric population. http://www.pediatrmedchir.org/index.php/pmc/article/view/281Pilonidal sinusendoscopic surgerychildrenminimally invasive surgery
spellingShingle Mariapina Cerulo
Assunta Turco
Ciro Esposito
Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review
La Pediatria Medica e Chirurgica
Pilonidal sinus
endoscopic surgery
children
minimally invasive surgery
title Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review
title_full Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review
title_fullStr Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review
title_full_unstemmed Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review
title_short Minimally invasive pilonidal sinus disease (PSD) treatment in pediatric patients: A narrative review
title_sort minimally invasive pilonidal sinus disease psd treatment in pediatric patients a narrative review
topic Pilonidal sinus
endoscopic surgery
children
minimally invasive surgery
url http://www.pediatrmedchir.org/index.php/pmc/article/view/281
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AT assuntaturco minimallyinvasivepilonidalsinusdiseasepsdtreatmentinpediatricpatientsanarrativereview
AT ciroesposito minimallyinvasivepilonidalsinusdiseasepsdtreatmentinpediatricpatientsanarrativereview