eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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vol. 18
General surgery
Original paper

Endoscopic pilonidal sinus treatment (EPSIT) versus sinus laser therapy (SiLaT) for sacrococcygeal pilonidal sinus

Cenk Ersavas
Basak Erginel
Fatih Yanar
İbrahim Fethi Azamat
Fatih Taskesen
Feryal Gun Soysal

Department of General Surgery, Medical Faculty, Istanbul Arel University, Istanbul, Turkey
Department of Pediatric Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
Department of General Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
Department of General Surgery, Medical Faculty, Uskudar University, Istanbul, Turkey
Videosurgery Miniinv 2023; 18 (1): 144–148
Online publish date: 2023/01/16
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New surgical treatment methods are being investigated in sacrococcygeal pilonidal sinus disease. Minimal invasive methods such as endoscopic pilonidal sinus treatment (EPSIT) and sinus laser therapy (SiLaT) have promising results and advantages of laparoscopic surgery.

To compare the efficiency and safety of EPSIT with SiLaT.

Material and methods
methods: Seventy-three patients with pilonidal sinus who had undergone EPSIT or SiLaT within two years were evaluated retrospectively. Data of patients’ demographics, complications and postoperative course were collected and compared between the two groups.

Results: We analyzed seventy-three patients who underwent EPSIT or SiLaT, with a mean age of 23.4 ±8.4 (12–46) years and body mass index (BMI) of 25.5 ±4.5 (18–38) kg/m 2 . Among them, 36 patients (26 males, ten females) underwent EPSIT and 37 patients (27 males, ten females) underwent SiLaT. Mean operative time was similar for both groups (32.3 ±14.8 vs. 31.0 ±14.8; p = 0.757). Early complications (minimal bleeding) were recorded in two patients in the SiLaT group. The duration of analgesic use was significantly lower in the EPSIT group compared to the SiLaT group (1.3 ±0.5 (1–3) vs. 1.9 ±1.1 (1–5); p = 0.005). The mean postoperative time of total wound healing was similar for both groups: 23.6 ±14.7 (12–90) vs. 25.2 ±14.5 (14–90) days (p = 0.385). There was no significant difference in the average time of return to total daily activity (3.4 ±0.9 (2–5) vs. 3.6 ±1.2 (2–7) days, p = 0.679). There were no significant differences between the groups regarding late postoperative complications (recurrence: 7).

Both methods have similar early and late complications. The duration of need for analgesic usage was shorter in EPSIT patients.


endoscopic, laser, pilonidal

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