Long‐term results of endoscopic pilonidal sinus treatment vs Limberg flap for treatment of difficult cases of complicated pilonidal disease: a prospective, nonrandomized study

• DOI: 10.1111/codi.14857
• Publication Date: 2019-09-18T18:40:00Z
• Authors: M. Romaniszyn; J. S. Swirta; P. J. Walega
• Keywords: Sinus (botany); Pilonidal disease

Abstract Aim To present the results of a prospective, nonrandomized comparative study on treatment complicated pilonidal sinus by endoscopic (EPSiT) compared with Limberg flap surgery, based experience single surgical centre. Method A study. Long‐term follow‐up 62 patients disease was analysed (36 operated using technique and 26 EPSiT method). The median 27 months (12–44). Results operating time in group 60 min (25–80 min) 67 (35–95 min). In group, primary healing achieved 22 out (84.6%) 42 days total complication rate 11.5%. There were seven recurrences after initial healing. success procedure long‐term 57.7%. all healed (100%) 21 days. this 26.5%, there two group. 94.1%. Conclusion For sinus, has significantly lower than procedure, but risk complications. Such should be offered choice between safer, minimally invasive higher recurrence or which is more effective,