Melissa Kyriakos Saad¹, Karam Karam², Elias Fiani³, Charbel Fares⁴, Elias Saikaly⁵*

¹Saint George Hospital University Medical Center, Beirut, Lebanon
²Saint George Hospital University Medical Center, Beirut, Lebanon
³Department of Gastroenterology, Saint George Hospital University Medical Center, Beirut, Lebanon
⁴Saint George Hospital University Medical Center, Department of radiology, Beirut, Lebanon
⁵Saint George Hospital University Medical Center, Department of General Surgery, Beirut, Lebanon, Saint George University of Beirut, Beirut, Lebanon

*Corresponding Author: Elias Saikaly, Saint George Hospital University Medical Center, Department of General Surgery, Beirut, Lebanon, Saint George University of Beirut, Beirut, Lebanon.

Received: May 24, 2024; Published: June 12, 2024

Abstract

Background: Surgical management of sacrococcygeal pilonidal disease remains debatable, with the optimal surgical approach is yet to be determined. The treatment of any disease should not be disabling more than the disease itself, hence the ideal surgical management of pilonidal disease should allow a quick recovery, minimally effecting lifestyle in the postoperative period, early return to normal daily activities and a low recurrence rate. Herein, we present our experience in management of pilonidal disease using a modified endoscopic pilonidal sinus treatment (MEPSiT).

Methods: From July 2018 to October 2022, a total of 90 patients with symptomatic pilonidal disease underwent the modified endoscopic pilonidal disease excision, clinical, operative, and follow up data were recorded.

Results: 90 patients were included in the study. The mean number of openings per patient is 2 openings, were localized to midline in 56 percent of cases. In 44 percent of cases there were openings in the midline as well as a lateral opening. All patients returned to normal daily activities unlimited by pain on the first postoperative day. All patients return to work 2 days after surgery. No wound complications were encountered. After a minimum follow up of 12 months, complete wound healing was achieved in all 90 patients within 33 days. The mean complete wound healing was 24 days. 1 recurrence was encountered. No patients were lost for follow up.

Conclusion: The optimal surgical approach is multifactorial depending on surgeon preference, extent and anatomy of the disease on one side. And on the other side, patients request and expectations. From this perspective, MEPSiT is an attractive option with promising results.

Keywords: Endoscopic Pilonidal Sinus Surgery; Minimally Invasive Surgery; Pilonidal Disease; EPSiT

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Citation

Citation: Elias Saikaly., et al. “Modified Endoscopic Pilonidal Sinus Treatment (MEPSiT): Personal Experience". Acta Scientific Gastrointestinal Disorders 7.7 (2024): 24-29.

Copyright

Copyright: © 2024 Elias Saikaly., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.