Endoscopic techniques for the treatment of pilonidal sinus disease - a mini-review
This article should be referrenced as: Blake H. Endoscopic techniques for the treatment of pilonidal sinus disease - a mini-review. J Wound Management, 2022,23(1):18-22
Background: Pilonidal sinus disease affects many individuals in the UK and is associated with chronicity, pain and recurrence. It has a negative impact on the individual’s quality of life and daily functioning and places a significant burden on the UK’s healthcare service. Traditionally, treatment has involved excision and healing by primary or secondary intention; however, recent advances in surgical techniques have led to the development of endoscopic and video assisted treatments.
Aim: This paper evaluates the current research surrounding the endoscopic treatment of pilonidal sinus disease, with particular reference to patient benefits and harm.
Methods: A Medline search of endoscopic/video-assisted and pilonidal sinus disease in adults was undertaken. There was minimal level 1 evidence, due to the recent nature of the treatment’s development, therefore levels 1–3 were reviewed.
Findings: Patients generally experience less pain and a quicker return to normal functioning following endoscopic treatment; however, this approach does not appear to improve recurrence rates and may only be replicable in uncomplicated pilonidal disease.
Implications for clinical practice: Endoscopic treatments appear to be an interesting new technique for the treatment of simple pilonidal disease; however, further work is required to identify a technique that also addresses recurrence rates.