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Pediatric endoscopic pilonidal sinus treatment (PEPSiT): report of a multicentric national study on 294 patients.
Esposito, Ciro; Leva, Ernesto; Gamba, Piergiorgio; Sgrò, Alberto; Ferrentino, Umberto; Papparella, Alfonso; Chiarenza, Fabio; Bleve, Cosimo; Mendoza-Sagaon, Mario; Montaruli, Ernesto; Escolino, Maria.
Afiliação
  • Esposito C; Division of Pediatric Surgery, Federico II University Hospital, Via Pansini 5, 80131, Naples, Italy.
  • Leva E; Division of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  • Gamba P; Division of Pediatric Surgery, Medical University of Padua, Padua, Italy.
  • Sgrò A; Division of Pediatric Surgery, Medical University of Padua, Padua, Italy.
  • Ferrentino U; Division of Pediatric Surgery, University Hospital San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.
  • Papparella A; Division of Pediatric Surgery, University Hospital Luigi Vanvitelli, Naples, Italy.
  • Chiarenza F; Division of Pediatric Surgery, San Bortolo Hospital, Vicenza, Italy.
  • Bleve C; Division of Pediatric Surgery, San Bortolo Hospital, Vicenza, Italy.
  • Mendoza-Sagaon M; Division of Pediatric Surgery, Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland.
  • Montaruli E; Division of Pediatric Surgery, Ospedale Regionale di Bellinzona e Valli, Bellinzona, Switzerland.
  • Escolino M; Division of Pediatric Surgery, Federico II University Hospital, Via Pansini 5, 80131, Naples, Italy. x.escolino@libero.it.
Updates Surg ; 75(6): 1625-1631, 2023 Sep.
Article em En | MEDLINE | ID: mdl-37145226
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 and more proximal to the anus) were predictors of PSD recurrence (p = 0.001). To date, this is the largest series of PEPSiT published in the pediatric population. The outcomes reported after a 3 years experience confirm that PEPSiT is a safe, effective, and real minimally invasive procedure to treat adolescents with PSD. It provides patients quick and painless recovery, satisfactory success, and high quality of life.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Seio Pilonidal Tipo de estudo: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Adolescent / Aged / Child / Humans / Male Idioma: En Revista: Updates Surg Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Seio Pilonidal Tipo de estudo: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Adolescent / Aged / Child / Humans / Male Idioma: En Revista: Updates Surg Ano de publicação: 2023 Tipo de documento: Article